Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $1,096.48 / $1,995.26	Professional		$165.96	$1,096.48	$1,995.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $190.55 / $229.09	Professional		$169.82	$190.55	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $1,047.13 / $2,454.71	Professional		$177.83	$1,047.13	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $2,754.23	Professional		$1,096.48	$1,445.44	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $1,148.15 / $2,511.89	Professional		$165.96	$1,148.15	$2,511.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $2,041.74	Professional		$1,174.90	$1,445.44	$2,041.74