Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Facility		$255.00	$255.00	$255.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.00 / $255.00 / $298.80	Professional		$249.00	$255.00	$298.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $235.75 / $235.75 / $240.00	Professional		$235.75	$235.75	$240.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.30 / $255.00 / $255.00	Facility		$217.30	$255.00	$255.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Professional		$255.00	$255.00	$255.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $100.42 / $270.00	Professional		$62.92	$100.42	$270.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.50 / $250.00 / $262.63	Professional		$162.50	$250.00	$262.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $217.30 / $217.30 / $250.00	Professional		$217.30	$217.30	$250.00