Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.45 / $1,026.04 / $4,733.84	Professional		$877.45	$1,026.04	$4,733.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,040.60 / $1,065.06 / $1,233.04	Professional		$1,040.60	$1,065.06	$1,233.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $865.15 / $1,198.70 / $2,798.04	Professional		$865.15	$1,198.70	$2,798.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $926.89 / $1,195.69 / $1,967.19	Professional		$926.89	$1,195.69	$1,967.19
United Facility/Professional Professional Modifier Low / Median / High Price $768.30 / $1,024.25 / $1,807.05	Professional		$768.30	$1,024.25	$1,807.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $715.90 / $1,065.92 / $1,325.28	Professional		$715.90	$1,065.92	$1,325.28