Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.34 / $777.27 / $936.52	Facility		$770.34	$777.27	$936.52
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,787.97 / $2,787.97 / $2,787.97	Facility	50	$2,787.97	$2,787.97	$2,787.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.97 / $824.37 / $1,290.90	Professional		$571.97	$824.37	$1,290.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $672.66 / $697.43 / $732.30	Professional		$672.66	$697.43	$732.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.00 / $513.90 / $1,018.46	Facility		$485.00	$513.90	$1,018.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $567.01 / $725.67 / $1,386.11	Professional		$567.01	$725.67	$1,386.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $753.08 / $911.63 / $1,189.08	Professional		$753.08	$911.63	$1,189.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,009.00 / $1,009.00 / $4,665.92	Facility		$1,009.00	$1,009.00	$4,665.92
United Facility/Professional Professional Modifier Low / Median / High Price $553.09 / $712.49 / $1,358.48	Professional		$553.09	$712.49	$1,358.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $517.19 / $831.24 / $911.63	Professional		$517.19	$831.24	$911.63