Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.84 / $1,581.93 / $4,029.12	Professional		$719.84	$1,581.93	$4,029.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $822.22 / $940.53 / $1,194.47	Professional		$822.22	$940.53	$1,194.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $753.56 / $1,538.46 / $3,465.19	Professional		$753.56	$1,538.46	$3,465.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,672.50 / $2,167.37 / $3,019.89	Professional		$1,672.50	$2,167.37	$3,019.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,349.03 / $1,974.08 / $4,140.72	Professional		$1,349.03	$1,974.08	$4,140.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $770.04 / $1,932.15 / $2,389.29	Professional		$770.04	$1,932.15	$2,389.29