Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,884.03 / $7,079.46	Facility		$707.95	$2,884.03	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $416.87 / $1,047.13	Professional		$275.42	$416.87	$1,047.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $436.52 / $1,148.15 / $2,570.40	Professional	50	$436.52	$1,148.15	$2,570.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $302.00 / $363.08	Professional		$269.15	$302.00	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $870.96	Professional		$281.84	$436.52	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $691.83	Professional		$346.74	$467.74	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $691.83	Professional		$263.03	$407.38	$691.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $524.81 / $616.60	Professional		$263.03	$524.81	$616.60