Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $677.27 / $908.92 / $3,575.44	Professional		$677.27	$908.92	$3,575.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $565.09 / $729.38 / $844.77	Professional		$565.09	$729.38	$844.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $621.82 / $1,044.65 / $2,083.96	Professional		$621.82	$1,044.65	$2,083.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $861.84 / $1,111.77 / $2,156.65	Professional		$861.84	$1,111.77	$2,156.65
United Facility/Professional Professional Modifier Low / Median / High Price $690.68 / $1,012.29 / $1,987.98	Professional		$690.68	$1,012.29	$1,987.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $527.04 / $991.12 / $1,224.47	Professional		$527.04	$991.12	$1,224.47