Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $902.17 / $943.19 / $4,670.09	Professional		$902.17	$943.19	$4,670.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,019.95 / $1,019.95 / $1,165.81	Professional		$1,019.95	$1,019.95	$1,165.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.64 / $1,194.46 / $2,760.02	Professional		$852.64	$1,194.46	$2,760.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $913.73 / $1,215.26 / $1,942.88	Professional		$913.73	$1,215.26	$1,942.88
United Facility/Professional Professional Modifier Low / Median / High Price $774.98 / $1,061.85 / $2,152.51	Professional		$774.98	$1,061.85	$2,152.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $702.56 / $1,050.79 / $1,306.65	Professional		$702.56	$1,050.79	$1,306.65