Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.00 / $870.00 / $951.20	Professional		$754.00	$870.00	$951.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $928.00 / $928.00 / $1,057.92	Professional		$928.00	$928.00	$1,057.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $614.79 / $1,929.14	Professional		$12.91	$614.79	$1,929.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,197.94 / $1,377.63 / $1,796.91	Professional		$1,197.94	$1,377.63	$1,796.91
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $522.00 / $1,044.00	Professional		$487.20	$522.00	$1,044.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $598.97 / $598.97 / $598.97	Professional		$598.97	$598.97	$598.97