Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,318.26	Facility		$977.24	$977.24	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $1,778.28	Professional		$30.20	$50.12	$1,778.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.27 / $5.50	Professional		$3.02	$4.27	$5.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,412.54	Professional		$724.44	$1,071.52	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,258.93	Professional		$724.44	$1,000.00	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $87.10	Professional		$44.67	$60.26	$87.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $398.11	Professional		$263.03	$263.03	$398.11