Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $2,940.00 / $3,000.00	Facility		$1,500.00	$2,940.00	$3,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $722.00 / $739.40 / $739.40	Professional		$722.00	$739.40	$739.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $157.37 / $157.37 / $157.37	Professional		$157.37	$157.37	$157.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.40 / $739.40 / $739.40	Professional		$739.40	$739.40	$739.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.57 / $751.26 / $1,022.88	Professional		$638.57	$751.26	$1,022.88
United Facility/Professional Professional Modifier Low / Median / High Price $85.80 / $87.52 / $488.12	Professional		$85.80	$87.52	$488.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.86 / $109.86 / $109.86	Professional		$109.86	$109.86	$109.86