Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.65 / $4,659.04 / $10,663.03	Facility		$719.65	$4,659.04	$10,663.03
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,404.60 / $5,612.83 / $8,828.93	Facility	50	$4,404.60	$5,612.83	$8,828.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.97 / $640.07 / $2,705.58	Professional		$465.97	$640.07	$2,705.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $508.40 / $553.40 / $819.03	Professional		$508.40	$553.40	$819.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $1,772.93 / $2,985.38	Facility		$629.00	$1,772.93	$2,985.38
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $58.98 / $58.98 / $58.98	Facility	AS	$58.98	$58.98	$58.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.57 / $629.67 / $1,163.67	Professional		$456.57	$629.67	$1,163.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $520.05 / $666.91 / $925.26	Professional		$520.05	$666.91	$925.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,028.00 / $1,347.00 / $3,219.00	Facility		$1,028.00	$1,347.00	$3,219.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.26 / $593.91 / $1,131.71	Professional		$432.26	$593.91	$1,131.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $420.46 / $639.12 / $780.09	Professional		$420.46	$639.12	$780.09