Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.26 / $800.94 / $1,225.44	Professional		$632.26	$800.94	$1,225.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,083.59 / $1,083.59 / $1,208.55	Professional		$1,083.59	$1,083.59	$1,208.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,232.30 / $1,232.30 / $1,232.30	Professional		$1,232.30	$1,232.30	$1,232.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,325.67 / $1,562.85 / $2,078.59	Professional		$1,325.67	$1,562.85	$2,078.59
United Facility/Professional Professional Modifier Low / Median / High Price $544.91 / $814.70 / $1,228.00	Professional		$544.91	$814.70	$1,228.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $846.26 / $1,086.59 / $1,502.72	Professional		$846.26	$1,086.59	$1,502.72