Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,000.00 / $5,128.61	Facility		$56.23	$1,000.00	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $660.69 / $1,698.24	Professional		$177.83	$660.69	$1,698.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $186.21 / $234.42	Professional		$165.96	$186.21	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $575.44 / $1,513.56	Professional		$186.21	$575.44	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,445.44	Professional		$660.69	$891.25	$1,445.44
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 $169.82 / $501.19 / $1,479.11	Professional		$169.82	$501.19	$1,479.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,000.00 / $1,230.27	Professional		$616.60	$1,000.00	$1,230.27