Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $1,318.26	Professional		$489.78	$645.65	$1,318.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $758.58 / $3,162.28 / $3,388.44	Professional	50	$758.58	$3,162.28	$3,388.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $501.19 / $630.96	Professional		$446.68	$501.19	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $630.96 / $1,023.29	Facility		$602.56	$630.96	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $1,148.15	Professional		$436.52	$562.34	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $707.95 / $1,023.29	Professional		$602.56	$707.95	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,621.81	Facility		$1,000.00	$1,000.00	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $977.24	Professional		$398.11	$549.54	$977.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $676.08 / $1,000.00	Professional		$380.19	$676.08	$1,000.00