Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.00 / $595.00 / $595.00	Facility		$595.00	$595.00	$595.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $597.02 / $611.41 / $611.41	Professional		$597.02	$611.41	$611.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.41 / $611.41 / $611.41	Professional		$611.41	$611.41	$611.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $527.91 / $583.75 / $683.33	Professional		$527.91	$583.75	$683.33
United Facility/Professional Professional Modifier Low / Median / High Price $683.34 / $683.34 / $719.30	Professional		$683.34	$683.34	$719.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.63 / $126.63 / $126.63	Professional		$126.63	$126.63	$126.63