Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.32 / $1,593.43 / $2,677.30	Professional		$384.32	$1,593.43	$2,677.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $397.17 / $399.47 / $636.87	Professional		$397.17	$399.47	$636.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.87 / $1,419.58 / $4,613.12	Professional		$377.87	$1,419.58	$4,613.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,416.32 / $1,883.71 / $3,741.80	Professional		$1,416.32	$1,883.71	$3,741.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,499.33 / $2,654.18 / $3,883.18	Professional		$1,499.33	$2,654.18	$3,883.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,416.32 / $1,628.77 / $2,007.39	Professional		$1,416.32	$1,628.77	$2,007.39