Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.47 / $1,555.28 / $2,573.05	Professional		$411.47	$1,555.28	$2,573.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $425.19 / $427.21 / $768.33	Professional		$425.19	$427.21	$768.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.19 / $1,386.91 / $4,501.99	Professional		$405.19	$1,386.91	$4,501.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,383.73 / $1,840.36 / $3,627.18	Professional		$1,383.73	$1,840.36	$3,627.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,452.96 / $2,481.36 / $3,828.28	Professional		$1,452.96	$2,481.36	$3,828.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,383.73 / $1,591.29 / $1,961.82	Professional		$1,383.73	$1,591.29	$1,961.82