Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.72 / $1,027.60 / $4,615.38	Facility		$235.72	$1,027.60	$4,615.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $893.76 / $1,352.42 / $8,100.04	Facility	50	$893.76	$1,352.42	$8,100.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.58 / $654.77 / $1,912.73	Professional		$213.58	$654.77	$1,912.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $217.64 / $231.09 / $322.37	Professional		$217.64	$231.09	$322.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,012.19 / $1,012.19 / $1,012.19	Facility		$1,012.19	$1,012.19	$1,012.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.45 / $642.99 / $2,159.79	Professional		$212.45	$642.99	$2,159.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $905.23 / $1,185.82 / $2,118.71	Professional		$905.23	$1,185.82	$2,118.71
United Facility/Professional Professional Modifier Low / Median / High Price $788.80 / $1,087.00 / $1,793.93	Professional		$788.80	$1,087.00	$1,793.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.99 / $1,041.01 / $1,284.53	Professional		$190.99	$1,041.01	$1,284.53