Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $991.44 / $3,172.26	Facility		$1.00	$991.44	$3,172.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.29 / $1,062.14 / $2,657.05	Professional		$636.29	$1,062.14	$2,657.05
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $95.44 / $148.72 / $159.32	Professional	55	$95.44	$148.72	$159.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $785.00 / $798.30 / $886.46	Professional		$785.00	$798.30	$886.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.00 / $335.55 / $2,078.94	Facility		$314.00	$335.55	$2,078.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.54 / $838.43 / $1,453.61	Professional		$630.54	$838.43	$1,453.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $835.77 / $961.14 / $1,253.66	Professional		$835.77	$961.14	$1,253.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,009.00 / $1,009.00 / $1,009.00	Facility		$1,009.00	$1,009.00	$1,009.00
United Facility/Professional Professional Modifier Low / Median / High Price $545.97 / $739.74 / $1,373.53	Professional		$545.97	$739.74	$1,373.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $589.42 / $876.13 / $961.14	Professional		$589.42	$876.13	$961.14