Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.78 / $757.34 / $4,798.75	Facility		$538.78	$757.34	$4,798.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.37 / $577.89 / $1,417.96	Professional		$421.37	$577.89	$1,417.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $210.69 / $218.09 / $728.09	Professional	50	$210.69	$218.09	$728.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $485.45 / $487.48 / $590.38	Professional		$485.45	$487.48	$590.38
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 $411.21 / $566.32 / $1,063.54	Professional		$411.21	$566.32	$1,063.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $603.16 / $730.15 / $952.37	Professional		$603.16	$730.15	$952.37
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 $450.69 / $590.48 / $1,086.29	Professional		$450.69	$590.48	$1,086.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $361.15 / $664.28 / $730.15	Professional		$361.15	$664.28	$730.15