Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $5,888.44	Facility		$3,388.44	$5,888.44	$5,888.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility	50	$4,466.84	$4,466.84	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $2,454.71	Professional		$933.25	$1,288.25	$2,454.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,230.27 / $3,019.95 / $6,918.31	Professional	50	$1,230.27	$3,019.95	$6,918.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $1,122.02	Professional		$870.96	$1,000.00	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $512.86 / $1,584.89	Facility		$489.78	$512.86	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,949.84	Professional		$794.33	$1,047.13	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,548.82	Professional		$912.01	$1,047.13	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,238.72	Facility		$1,380.38	$1,380.38	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,819.70	Professional		$707.95	$933.25	$1,819.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,479.11	Professional		$724.44	$1,000.00	$1,479.11