Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.48 / $2,878.32 / $7,047.67	Facility		$711.48	$2,878.32	$7,047.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.29 / $400.50 / $1,018.14	Professional		$276.29	$400.50	$1,018.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,127.68 / $2,257.21 / $7,597.80	Professional	50	$1,127.68	$2,257.21	$7,597.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $307.23 / $309.38 / $353.62	Professional		$307.23	$309.38	$353.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.62 / $217.62 / $217.62	Facility		$217.62	$217.62	$217.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.72 / $437.28 / $870.01	Professional		$289.72	$437.28	$870.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $397.05 / $512.19 / $870.72	Professional		$397.05	$512.19	$870.72
United Facility/Professional Professional Modifier Low / Median / High Price $318.07 / $460.21 / $811.64	Professional		$318.07	$460.21	$811.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $264.16 / $456.61 / $564.21	Professional		$264.16	$456.61	$564.21