Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.75 / $1,462.50 / $1,462.50	Professional		$358.75	$1,462.50	$1,462.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,560.00 / $1,755.00 / $2,000.70	Professional		$1,560.00	$1,755.00	$2,000.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,033.50 / $1,033.50 / $1,033.50	Professional		$1,033.50	$1,033.50	$1,033.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $2,340.00 / $2,925.00	Professional		$1,950.00	$2,340.00	$2,925.00
United Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $877.50 / $1,559.10	Professional		$819.00	$877.50	$1,559.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $975.00 / $1,550.25 / $1,550.25	Professional		$975.00	$1,550.25	$1,550.25