Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $913.58 / $954.19 / $4,729.56	Professional		$913.58	$954.19	$4,729.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,032.54 / $1,032.54 / $1,180.20	Professional		$1,032.54	$1,032.54	$1,180.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $867.96 / $1,209.02 / $2,794.91	Professional		$867.96	$1,209.02	$2,794.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $925.05 / $1,230.32 / $1,967.51	Professional		$925.05	$1,230.32	$1,967.51
United Facility/Professional Professional Modifier Low / Median / High Price $778.12 / $1,098.88 / $2,251.75	Professional		$778.12	$1,098.88	$2,251.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $715.56 / $1,063.81 / $1,322.81	Professional		$715.56	$1,063.81	$1,322.81