Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $616.60 / $812.83	Professional		$537.03	$616.60	$812.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $602.56 / $691.83	Professional		$549.54	$602.56	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $1,148.15	Professional		$758.58	$870.96	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $575.44	Facility		$316.23	$316.23	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $338.84 / $616.60	Professional		$316.23	$338.84	$616.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19