Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $318.00 / $318.00	Facility		$318.00	$318.00	$318.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $349.80	Professional		$318.00	$318.00	$349.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $250.47 / $250.47 / $250.47	Professional		$250.47	$250.47	$250.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $318.00 / $318.00	Facility		$318.00	$318.00	$318.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $405.00	Professional		$318.00	$318.00	$405.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.30 / $318.00 / $1,307.33	Professional		$270.30	$318.00	$1,307.33
United Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $335.49	Professional		$318.00	$318.00	$335.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $416.58	Professional		$318.00	$318.00	$416.58