Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.63 / $93.63 / $93.63	Facility		$93.63	$93.63	$93.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.14 / $779.75 / $1,416.67	Professional		$766.14	$779.75	$1,416.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,075.60 / $1,110.30 / $1,269.07	Professional		$1,075.60	$1,110.30	$1,269.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $844.17 / $1,224.43 / $2,365.64	Professional		$844.17	$1,224.43	$2,365.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $952.30 / $1,266.56 / $2,047.57	Professional		$952.30	$1,266.56	$2,047.57
United Facility/Professional Professional Modifier Low / Median / High Price $795.53 / $1,080.42 / $1,860.12	Professional		$795.53	$1,080.42	$1,860.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $865.52 / $1,095.14 / $1,351.51	Professional		$865.52	$1,095.14	$1,351.51