Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.33 / $596.33 / $742.90	Facility		$596.33	$596.33	$742.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.85 / $748.85 / $950.91	Professional		$748.85	$748.85	$950.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $742.89 / $742.89 / $748.85	Professional		$742.89	$742.89	$748.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.84 / $748.84 / $953.72	Professional		$748.84	$748.84	$953.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $748.85 / $748.85 / $788.11	Professional		$748.85	$748.85	$788.11
United Facility/Professional Professional Modifier Low / Median / High Price $748.85 / $748.85 / $875.68	Professional		$748.85	$748.85	$875.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $715.39 / $715.39 / $715.39	Professional		$715.39	$715.39	$715.39