Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.33 / $475.33 / $475.33	Facility		$475.33	$475.33	$475.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.33 / $475.33 / $608.41	Professional		$475.33	$475.33	$608.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $493.97 / $493.97 / $493.97	Professional		$493.97	$493.97	$493.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.33 / $475.33 / $475.33	Professional		$475.33	$475.33	$475.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.09 / $142.91 / $184.63	Professional		$123.09	$142.91	$184.63
United Facility/Professional Professional Modifier Low / Median / High Price $466.01 / $466.01 / $672.22	Professional		$466.01	$466.01	$672.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $428.19 / $428.19 / $428.19	Professional		$428.19	$428.19	$428.19