Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.98 / $953.01 / $2,899.23	Facility		$169.98	$953.01	$2,899.23
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,640.28 / $2,640.28 / $2,640.28	Facility	50	$2,640.28	$2,640.28	$2,640.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.01 / $516.69 / $1,333.29	Professional		$133.01	$516.69	$1,333.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $157.63 / $219.90	Professional		$157.63	$157.63	$219.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.88 / $746.88 / $746.88	Facility		$746.88	$746.88	$746.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.27 / $399.89 / $1,269.57	Professional		$132.27	$399.89	$1,269.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $437.51 / $663.99 / $1,203.83	Professional		$437.51	$663.99	$1,203.83
United Facility/Professional Professional Modifier Low / Median / High Price $136.90 / $607.08 / $1,075.50	Professional		$136.90	$607.08	$1,075.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.04 / $591.92 / $730.61	Professional		$107.04	$591.92	$730.61