Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.52 / $519.52 / $519.52	Facility		$519.52	$519.52	$519.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $696.16	Professional		$508.96	$508.96	$696.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $519.52	Professional		$508.96	$508.96	$519.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $648.21	Professional		$508.96	$508.96	$648.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $544.21	Professional		$508.96	$508.96	$544.21
United Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $824.91	Professional		$508.96	$508.96	$824.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $491.65 / $491.65 / $491.65	Professional		$491.65	$491.65	$491.65