Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Facility		$1.00	$1.00	$1.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $812.83	Professional		$245.47	$380.19	$812.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $295.12 / $389.05	Professional		$269.15	$295.12	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $870.96	Professional		$269.15	$426.58	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $489.78 / $758.58	Professional		$426.58	$489.78	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $524.81 / $741.31	Facility		$251.19	$524.81	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $398.11 / $724.44	Professional		$245.47	$398.11	$724.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $645.65	Professional		$371.54	$501.19	$645.65