Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Professional		$600.00	$600.00	$600.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,250.00 / $2,250.00 / $2,250.00	Professional		$2,250.00	$2,250.00	$2,250.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,150.00 / $1,150.00 / $1,200.00	Facility		$1,150.00	$1,150.00	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.50 / $977.50 / $977.50	Professional		$839.50	$977.50	$977.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $15.00 / $18.00	Professional		$11.00	$15.00	$18.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.02 / $438.22 / $1,500.00	Professional		$109.02	$438.22	$1,500.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.69 / $1,147.50 / $1,147.50	Professional		$102.69	$1,147.50	$1,147.50