Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.62 / $605.96 / $1,456.14	Professional		$428.62	$605.96	$1,456.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $754.70 / $996.27 / $3,426.79	Professional	50	$754.70	$996.27	$3,426.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $509.34 / $513.63 / $637.27	Professional		$509.34	$513.63	$637.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $634.82 / $1,018.46	Facility		$599.00	$634.82	$1,018.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.94 / $577.49 / $1,067.47	Professional		$433.94	$577.49	$1,067.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $584.72 / $707.81 / $991.43	Professional		$584.72	$707.81	$991.43
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 $470.11 / $578.71 / $1,052.92	Professional		$470.11	$578.71	$1,052.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.77 / $645.01 / $707.81	Professional		$380.77	$645.01	$707.81