Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $963.91 / $1,005.53 / $4,995.04	Professional		$963.91	$1,005.53	$4,995.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,095.66 / $1,135.89 / $1,298.32	Professional		$1,095.66	$1,135.89	$1,298.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $924.24 / $1,274.80 / $2,946.18	Professional		$924.24	$1,274.80	$2,946.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $976.41 / $1,298.63 / $2,073.52	Professional		$976.41	$1,298.63	$2,073.52
United Facility/Professional Professional Modifier Low / Median / High Price $822.51 / $1,143.95 / $1,907.26	Professional		$822.51	$1,143.95	$1,907.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $769.37 / $1,122.86 / $1,396.25	Professional		$769.37	$1,122.86	$1,396.25