Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $903.89 / $977.77 / $4,668.80	Professional		$903.89	$977.77	$4,668.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,054.83 / $1,054.83 / $1,205.67	Professional		$1,054.83	$1,054.83	$1,205.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $821.48 / $1,181.07 / $2,456.75	Professional		$821.48	$1,181.07	$2,456.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,016.06 / $1,312.46 / $2,129.61	Professional		$1,016.06	$1,312.46	$2,129.61
United Facility/Professional Professional Modifier Low / Median / High Price $772.48 / $1,136.00 / $1,919.05	Professional		$772.48	$1,136.00	$1,919.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $801.84 / $1,168.47 / $1,402.97	Professional		$801.84	$1,168.47	$1,402.97