Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.16 / $2,284.86 / $4,813.91	Facility		$531.16	$2,284.86	$4,813.91
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,961.90 / $4,659.96 / $4,659.96	Facility	50	$2,961.90	$4,659.96	$4,659.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.06 / $501.53 / $2,270.48	Professional		$368.06	$501.53	$2,270.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,320.67 / $3,017.73 / $5,876.70	Professional	50	$1,320.67	$3,017.73	$5,876.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $473.24 / $473.24 / $776.57	Professional		$473.24	$473.24	$776.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $873.24	Facility		$445.00	$453.73	$873.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.61 / $560.66 / $1,131.39	Professional		$391.61	$560.66	$1,131.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $476.48 / $614.66 / $810.45	Professional		$476.48	$614.66	$810.45
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 $339.42 / $490.42 / $951.41	Professional		$339.42	$490.42	$951.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $391.24 / $547.95 / $673.31	Professional		$391.24	$547.95	$673.31