Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $732.72 / $796.74 / $883.37	Professional		$732.72	$796.74	$883.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $779.66 / $855.46 / $977.80	Professional		$779.66	$855.46	$977.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.26 / $801.90 / $1,657.77	Professional		$616.26	$801.90	$1,657.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $669.98 / $864.27 / $1,439.83	Professional		$669.98	$864.27	$1,439.83
United Facility/Professional Professional Modifier Low / Median / High Price $566.82 / $743.95 / $1,325.60	Professional		$566.82	$743.95	$1,325.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $528.54 / $528.54 / $942.59	Professional		$528.54	$528.54	$942.59