Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,995.26 / $3,090.30	Facility		$501.19	$1,995.26	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,621.81	Professional		$588.84	$776.25	$1,621.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional	50	$1,148.15	$1,148.15	$1,148.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $676.08	Professional		$537.03	$630.96	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $338.84 / $489.78	Facility		$316.23	$338.84	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $1,412.54	Professional		$501.19	$676.08	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $812.83 / $1,174.90	Professional		$707.95	$812.83	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $707.95	Facility		$446.68	$446.68	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $1,202.26	Professional		$457.09	$602.56	$1,202.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $1,148.15	Professional		$478.63	$776.25	$1,148.15