Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $3,090.30 / $4,365.16	Facility		$275.42	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $457.09 / $1,479.11	Professional		$234.42	$457.09	$1,479.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,737.80 / $2,691.53 / $2,754.23	Professional	50	$1,737.80	$2,691.53	$2,754.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $223.87 / $524.81	Professional		$204.17	$223.87	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $144.54 / $338.84	Facility		$123.03	$144.54	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $407.38 / $660.69	Professional		$199.53	$407.38	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $562.34	Professional		$245.47	$288.40	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $426.58	Facility		$295.12	$295.12	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $870.96	Professional		$363.08	$467.74	$870.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $354.81	Professional		$208.93	$257.04	$354.81