Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.64 / $381.64 / $381.64	Facility		$381.64	$381.64	$381.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $384.85 / $488.50	Professional		$384.85	$384.85	$488.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $381.64 / $381.64 / $384.84	Professional		$381.64	$381.64	$384.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $384.85 / $490.14	Professional		$384.85	$384.85	$490.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $384.85 / $392.21	Professional		$384.85	$384.85	$392.21
United Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $427.28 / $467.13	Professional		$384.85	$427.28	$467.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $376.57 / $376.57 / $376.57	Professional		$376.57	$376.57	$376.57