Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $478.63 / $562.34	Professional		$389.05	$478.63	$562.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $144.54 / $275.42	Professional		$125.89	$144.54	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $562.34	Professional		$467.74	$467.74	$562.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58