Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.90 / $491.90 / $936.38	Facility		$491.90	$491.90	$936.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.83 / $474.84 / $596.17	Professional		$474.83	$474.84	$596.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $474.84 / $491.90	Professional		$474.84	$474.84	$491.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $474.84 / $604.75	Professional		$474.84	$474.84	$604.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $474.84 / $932.61	Professional		$474.84	$474.84	$932.61
United Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $503.33 / $698.97	Professional		$474.84	$503.33	$698.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $481.29 / $481.29 / $481.29	Professional		$481.29	$481.29	$481.29