Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $608.67 / $1,027.89 / $3,625.00	Professional		$608.67	$1,027.89	$3,625.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $81.00 / $123.38	Professional		$81.00	$81.00	$123.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $764.79 / $1,074.23 / $2,159.31	Professional		$764.79	$1,074.23	$2,159.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,040.18 / $1,400.33 / $2,308.26	Professional		$1,040.18	$1,400.33	$2,308.26
United Facility/Professional Professional Modifier Low / Median / High Price $708.62 / $1,012.18 / $1,751.04	Professional		$708.62	$1,012.18	$1,751.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,248.35 / $1,367.63 / $1,519.59	Professional		$1,248.35	$1,367.63	$1,519.59