Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,370.32 / $8,317.64	Facility		$2,511.89	$5,370.32	$8,317.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,073.80 / $6,606.93 / $9,772.37	Facility	50	$4,073.80	$6,606.93	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $645.65 / $1,819.70	Professional		$389.05	$645.65	$1,819.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $457.09 / $724.44	Professional		$407.38	$457.09	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,691.53 / $3,162.28	Facility		$724.44	$2,691.53	$3,162.28
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	22	$891.25	$891.25	$891.25
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $74.13 / $74.13 / $74.13	Facility	AS	$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $912.01	Professional		$380.19	$501.19	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $489.78 / $707.95	Professional		$380.19	$489.78	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,238.72 / $6,165.95	Facility		$1,548.82	$2,238.72	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $870.96	Professional		$346.74	$489.78	$870.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $630.96	Professional		$346.74	$549.54	$630.96