Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,420.48 / $5,851.34 / $7,698.54	Facility		$3,420.48	$5,851.34	$7,698.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,423.35 / $4,423.35 / $4,423.35	Facility	50	$4,423.35	$4,423.35	$4,423.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.90 / $1,254.76 / $2,183.85	Professional		$765.90	$1,254.76	$2,183.85
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $3,031.32 / $3,319.39 / $6,841.86	Professional	50	$3,031.32	$3,319.39	$6,841.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $897.42 / $997.13 / $1,046.99	Professional		$897.42	$997.13	$1,046.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.00 / $513.90 / $1,575.38	Facility		$485.00	$513.90	$1,575.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $799.74 / $1,052.93 / $1,839.68	Professional		$799.74	$1,052.93	$1,839.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,050.13 / $1,207.65 / $1,575.20	Professional		$1,050.13	$1,207.65	$1,575.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $1,386.00 / $1,386.00	Facility		$1,386.00	$1,386.00	$1,386.00
United Facility/Professional Professional Modifier Low / Median / High Price $703.37 / $928.24 / $1,781.82	Professional		$703.37	$928.24	$1,781.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $732.28 / $1,100.74 / $1,207.65	Professional		$732.28	$1,100.74	$1,207.65