Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $1,048.94 / $1,450.57	Professional		$68.70	$1,048.94	$1,450.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $844.88 / $844.88 / $844.88	Professional		$844.88	$844.88	$844.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Facility		$120.00	$120.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $102.00 / $123.60	Professional		$102.00	$102.00	$123.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,125.70 / $1,608.14 / $2,315.71	Professional		$1,125.70	$1,608.14	$2,315.71
United Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $75.63 / $125.18	Professional		$68.50	$75.63	$125.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.47 / $1,125.70 / $1,125.70	Professional		$83.47	$1,125.70	$1,125.70