Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $816.00 / $1,749.43	Facility		$816.00	$816.00	$1,749.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $1,044.48	Professional		$816.00	$816.00	$1,044.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,142.42 / $1,142.42 / $1,142.42	Professional		$1,142.42	$1,142.42	$1,142.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Professional		$816.00	$816.00	$816.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.42 / $68.29 / $1,289.88	Professional		$47.42	$68.29	$1,289.88
United Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $1,433.20	Professional		$800.00	$800.00	$1,433.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,142.41 / $1,142.41 / $1,142.41	Professional		$1,142.41	$1,142.41	$1,142.41