Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.63 / $1,856.60 / $3,089.83	Facility		$645.63	$1,856.60	$3,089.83
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $773.37 / $1,949.13 / $1,949.13	Facility	50	$773.37	$1,949.13	$1,949.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.20 / $424.76 / $1,132.58	Professional		$191.20	$424.76	$1,132.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $295.64 / $745.68 / $2,780.00	Professional	50	$295.64	$745.68	$2,780.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $201.95 / $241.09 / $342.03	Professional		$201.95	$241.09	$342.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $641.21 / $873.24	Facility		$330.00	$641.21	$873.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.76 / $409.83 / $835.89	Professional		$198.76	$409.83	$835.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $443.91 / $574.66 / $863.97	Professional		$443.91	$574.66	$863.97
United Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $520.00 / $733.00	Facility		$520.00	$520.00	$733.00
United Facility/Professional Professional Modifier Low / Median / High Price $356.46 / $506.70 / $902.24	Professional		$356.46	$506.70	$902.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $445.48 / $512.29 / $634.16	Professional		$445.48	$512.29	$634.16