Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.59 / $487.59 / $487.59	Facility		$487.59	$487.59	$487.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $511.97	Professional		$487.59	$487.59	$511.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $487.59	Professional		$487.59	$487.59	$487.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.59 / $487.59 / $487.59	Facility		$487.59	$487.59	$487.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $620.98	Professional		$487.59	$487.59	$620.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $414.45 / $487.59 / $881.71	Professional		$414.45	$487.59	$881.71
United Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $536.19	Professional		$487.59	$487.59	$536.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.64 / $346.64 / $638.74	Professional		$346.64	$346.64	$638.74