Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.60 / $893.16 / $2,330.04	Facility		$637.60	$893.16	$2,330.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.79 / $685.57 / $1,264.86	Professional		$476.79	$685.57	$1,264.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $707.01 / $2,018.04 / $2,092.69	Professional	50	$707.01	$2,018.04	$2,092.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $488.91 / $575.00 / $603.75	Professional		$488.91	$575.00	$603.75
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 $475.65 / $670.99 / $1,258.81	Professional		$475.65	$670.99	$1,258.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $719.71 / $864.52 / $1,136.39	Professional		$719.71	$864.52	$1,136.39
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 $547.34 / $698.78 / $1,297.20	Professional		$547.34	$698.78	$1,297.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $572.38 / $590.59 / $871.23	Professional		$572.38	$590.59	$871.23