Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.99 / $579.99 / $579.99	Facility		$579.99	$579.99	$579.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $777.19	Professional		$579.97	$579.97	$777.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $579.99	Professional		$579.97	$579.97	$579.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $738.63	Professional		$579.97	$579.97	$738.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $616.30	Professional		$579.97	$579.97	$616.30
United Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $614.77	Professional		$579.97	$579.97	$614.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $563.10 / $563.10 / $563.10	Professional		$563.10	$563.10	$563.10