Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $726.53 / $760.74 / $3,759.55	Professional		$726.53	$760.74	$3,759.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $805.00 / $820.66 / $938.01	Professional		$805.00	$820.66	$938.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $689.64 / $963.98 / $2,225.98	Professional		$689.64	$963.98	$2,225.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $736.77 / $979.90 / $1,567.38	Professional		$736.77	$979.90	$1,567.38
United Facility/Professional Professional Modifier Low / Median / High Price $625.05 / $849.34 / $1,731.32	Professional		$625.05	$849.34	$1,731.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $568.25 / $847.29 / $1,053.27	Professional		$568.25	$847.29	$1,053.27