Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,160.05 / $2,112.07 / $3,610.65	Facility		$1,160.05	$2,112.07	$3,610.65
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,610.21 / $2,610.21 / $2,610.21	Facility	50	$2,610.21	$2,610.21	$2,610.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.34 / $255.31 / $439.70	Professional		$158.34	$255.31	$439.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.02 / $288.02 / $288.02	Professional	50	$288.02	$288.02	$288.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $149.63 / $195.58 / $205.36	Professional		$149.63	$195.58	$205.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $449.41 / $1,018.46	Facility		$424.00	$449.41	$1,018.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.03 / $293.06 / $525.53	Professional		$164.03	$293.06	$525.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $318.64 / $385.72 / $503.12	Professional		$318.64	$385.72	$503.12
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 $242.75 / $312.29 / $572.39	Professional		$242.75	$312.29	$572.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $196.04 / $246.34 / $385.72	Professional		$196.04	$246.34	$385.72