Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.85 / $1,250.63 / $1,813.32	Professional		$273.85	$1,250.63	$1,813.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $263.87 / $266.80 / $319.27	Professional		$263.87	$266.80	$319.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.46 / $615.85 / $2,532.75	Professional		$242.46	$615.85	$2,532.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $883.79 / $1,520.11 / $2,762.62	Professional		$883.79	$1,520.11	$2,762.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,273.34 / $1,781.62 / $2,935.90	Professional		$1,273.34	$1,781.62	$2,935.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,178.38 / $1,178.38 / $1,665.09	Professional		$1,178.38	$1,178.38	$1,665.09