Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.72 / $616.70 / $3,043.81	Facility		$155.72	$616.70	$3,043.81
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $548.60 / $1,951.90 / $5,082.50	Facility	50	$548.60	$1,951.90	$5,082.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.97 / $504.38 / $1,698.23	Professional		$104.97	$504.38	$1,698.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $165.74 / $409.38 / $1,833.72	Professional	50	$165.74	$409.38	$1,833.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.26 / $113.98 / $159.00	Professional		$107.26	$113.98	$159.00
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 $104.07 / $314.20 / $1,216.64	Professional		$104.07	$314.20	$1,216.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $593.85 / $781.02 / $1,402.58	Professional		$593.85	$781.02	$1,402.58
United Facility/Professional Professional Modifier Low / Median / High Price $481.14 / $647.92 / $1,138.84	Professional		$481.14	$647.92	$1,138.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.97 / $682.93 / $841.74	Professional		$87.97	$682.93	$841.74