Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $702.19 / $894.17 / $4,599.45	Facility		$702.19	$894.17	$4,599.45
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,800.19 / $2,498.73 / $4,410.64	Facility	50	$1,800.19	$2,498.73	$4,410.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.99 / $752.18 / $1,743.94	Professional		$519.99	$752.18	$1,743.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $854.22 / $854.22 / $1,850.77	Professional	50	$854.22	$854.22	$1,850.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $613.58 / $634.84 / $666.58	Professional		$613.58	$634.84	$666.58
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 $532.22 / $688.70 / $1,311.01	Professional		$532.22	$688.70	$1,311.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $716.94 / $867.87 / $1,132.01	Professional		$716.94	$867.87	$1,132.01
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 $561.73 / $720.23 / $1,803.83	Professional		$561.73	$720.23	$1,803.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $470.63 / $790.64 / $867.87	Professional		$470.63	$790.64	$867.87