Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.38 / $529.38 / $529.38	Facility		$529.38	$529.38	$529.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $709.37	Professional		$546.29	$546.29	$709.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $529.37 / $529.37 / $546.29	Professional		$529.37	$529.37	$546.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $695.75	Professional		$546.29	$546.29	$695.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $933.51	Professional		$546.29	$546.29	$933.51
United Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $579.07	Professional		$546.29	$546.29	$579.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $301.10 / $301.10 / $301.10	Professional		$301.10	$301.10	$301.10