Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $912.01 / $2,630.27	Facility		$234.42	$912.01	$2,630.27
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $489.78 / $1,445.44 / $3,981.07	Facility	50	$489.78	$1,445.44	$3,981.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $436.52 / $1,548.82	Professional		$204.17	$436.52	$1,548.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $645.65 / $2,754.23	Professional	50	$288.40	$645.65	$2,754.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $199.53 / $251.19	Professional		$177.83	$199.53	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $707.95	Facility		$645.65	$645.65	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $407.38 / $831.76	Professional		$213.80	$407.38	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $851.14	Professional		$457.09	$562.34	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $524.81 / $741.31	Facility		$204.17	$524.81	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $398.11 / $741.31	Professional		$204.17	$398.11	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $562.34 / $707.95	Professional		$446.68	$562.34	$707.95