Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $4,677.35 / $7,762.47	Facility		$741.31	$4,677.35	$7,762.47
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,311.31 / $8,912.51 / $9,549.93	Facility	50	$3,311.31	$8,912.51	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $794.33 / $2,187.76	Professional		$489.78	$794.33	$2,187.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $549.54 / $870.96	Professional		$489.78	$549.54	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,584.89 / $1,862.09	Facility		$724.44	$1,584.89	$1,862.09
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility	22	$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	AS	$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $1,023.29	Professional		$436.52	$602.56	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $851.14	Professional		$446.68	$588.84	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $3,235.94	Facility		$1,023.29	$1,445.44	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $1,047.13	Professional		$416.87	$588.84	$1,047.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $660.69 / $758.58	Professional		$416.87	$660.69	$758.58