Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $676.08 / $2,630.27	Facility		$104.71	$676.08	$2,630.27
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $457.09 / $1,949.84 / $5,128.61	Facility	50	$457.09	$1,949.84	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $457.09 / $1,548.82	Professional		$104.71	$457.09	$1,548.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $407.38 / $3,388.44	Professional	50	$138.04	$407.38	$3,388.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $104.71 / $125.89	Professional		$95.50	$104.71	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $316.23 / $1,202.26	Professional		$104.71	$316.23	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $1,148.15	Professional		$524.81	$691.83	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $363.08 / $977.24	Professional		$93.33	$363.08	$977.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $794.33 / $954.99	Professional		$87.10	$794.33	$954.99