Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $595.35 / $647.79 / $2,644.00	Professional		$595.35	$647.79	$2,644.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $784.46 / $871.63 / $1,115.69	Professional		$784.46	$871.63	$1,115.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.01 / $951.01 / $1,834.08	Professional		$655.01	$951.01	$1,834.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $732.07 / $951.39 / $1,588.45	Professional		$732.07	$951.39	$1,588.45
United Facility/Professional Professional Modifier Low / Median / High Price $616.33 / $870.38 / $1,704.85	Professional		$616.33	$870.38	$1,704.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $664.39 / $848.14 / $1,046.55	Professional		$664.39	$848.14	$1,046.55