Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $532.58 / $532.58 / $532.58	Facility		$532.58	$532.58	$532.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $681.70	Professional		$529.89	$529.89	$681.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $532.59	Professional		$529.89	$529.89	$532.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $674.86	Professional		$529.89	$529.89	$674.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $552.41	Professional		$529.89	$529.89	$552.41
United Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $764.37	Professional		$529.89	$529.89	$764.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $525.89 / $525.89 / $525.89	Professional		$525.89	$525.89	$525.89