Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $4,073.80	Facility		$1,584.89	$1,862.09	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $1,122.02	Professional		$436.52	$588.84	$1,122.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,584.89 / $1,862.09 / $3,019.95	Professional	50	$1,584.89	$1,862.09	$3,019.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $446.68 / $562.34	Professional		$407.38	$446.68	$562.34
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 $380.19 / $489.78 / $1,023.29	Professional		$380.19	$489.78	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $630.96 / $933.25	Professional		$549.54	$630.96	$933.25
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 $346.74 / $457.09 / $870.96	Professional		$346.74	$457.09	$870.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $602.56 / $891.25	Professional		$331.13	$602.56	$891.25