Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.88 / $450.00 / $450.00	Professional		$195.88	$450.00	$450.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $480.00 / $547.20	Professional		$480.00	$480.00	$547.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.72 / $159.72 / $159.72	Professional		$159.72	$159.72	$159.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $720.00 / $900.00	Professional		$600.00	$720.00	$900.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $135.61 / $301.35	Professional		$126.57	$135.61	$301.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Professional		$300.00	$300.00	$300.00