Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.77 / $3,080.20 / $4,331.20	Facility		$277.77	$3,080.20	$4,331.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.25 / $401.94 / $1,187.39	Professional		$232.25	$401.94	$1,187.39
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,734.84 / $1,734.84 / $1,734.84	Professional	50	$1,734.84	$1,734.84	$1,734.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $232.18 / $232.45 / $575.15	Professional		$232.18	$232.45	$575.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.55 / $144.16 / $335.55	Facility		$122.55	$144.16	$335.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.25 / $429.71 / $786.61	Professional		$203.25	$429.71	$786.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.08 / $285.79 / $400.77	Professional		$236.08	$285.79	$400.77
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $294.00 / $294.00	Facility		$294.00	$294.00	$294.00
United Facility/Professional Professional Modifier Low / Median / High Price $376.14 / $496.42 / $979.82	Professional		$376.14	$496.42	$979.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $231.42 / $248.51 / $285.79	Professional		$231.42	$248.51	$285.79