Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.00 / $1,853.15 / $4,085.23	Facility		$516.00	$1,853.15	$4,085.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.83 / $550.07 / $1,018.15	Professional		$412.83	$550.07	$1,018.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,994.29 / $2,994.29 / $2,994.29	Professional	50	$2,994.29	$2,994.29	$2,994.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $452.01 / $461.81 / $560.51	Professional		$452.01	$461.81	$560.51
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 $381.69 / $506.06 / $958.37	Professional		$381.69	$506.06	$958.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $525.21 / $635.78 / $829.28	Professional		$525.21	$635.78	$829.28
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 $379.75 / $489.74 / $908.24	Professional		$379.75	$489.74	$908.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $334.27 / $578.82 / $635.78	Professional		$334.27	$578.82	$635.78