Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,238.72 / $2,238.72	Facility		$1,445.44	$2,238.72	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $501.19	Professional		$141.25	$229.09	$501.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional	50	$1,348.96	$1,348.96	$1,348.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $162.18 / $181.97	Professional		$147.91	$162.18	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $162.18 / $338.84	Facility		$138.04	$162.18	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $407.38	Professional		$134.90	$213.80	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $416.87	Professional		$213.80	$275.42	$416.87
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 $120.23 / $194.98 / $338.84	Professional		$120.23	$194.98	$338.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $251.19 / $346.74	Professional		$144.54	$251.19	$346.74