Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.30 / $1,528.69 / $3,968.03	Facility		$46.30	$1,528.69	$3,968.03
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.98 / $2,876.84 / $7,251.04	Facility	50	$0.98	$2,876.84	$7,251.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.11 / $420.71 / $1,173.28	Professional		$156.11	$420.71	$1,173.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $118.69 / $596.76 / $1,005.30	Professional	50	$118.69	$596.76	$1,005.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $169.15 / $169.85 / $263.27	Professional		$169.15	$169.85	$263.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,745.52 / $1,745.52 / $1,745.52	Facility		$1,745.52	$1,745.52	$1,745.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.66 / $364.75 / $1,017.63	Professional		$159.66	$364.75	$1,017.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $388.21 / $516.32 / $1,044.25	Professional		$388.21	$516.32	$1,044.25
United Facility/Professional Professional Modifier Low / Median / High Price $405.72 / $560.88 / $924.59	Professional		$405.72	$560.88	$924.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $388.21 / $446.44 / $551.33	Professional		$388.21	$446.44	$551.33