Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.43 / $494.43 / $494.43	Facility		$494.43	$494.43	$494.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $632.87	Professional		$495.55	$495.55	$632.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $494.44 / $494.44 / $495.55	Professional		$494.44	$494.44	$495.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $631.12	Professional		$495.55	$495.55	$631.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $504.89	Professional		$495.55	$495.55	$504.89
United Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $525.28	Professional		$495.55	$495.55	$525.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $484.40 / $484.40 / $484.40	Professional		$484.40	$484.40	$484.40