Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $602.56 / $724.44	Professional		$524.81	$602.56	$724.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $588.84 / $660.69	Professional		$537.03	$588.84	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $851.14 / $1,122.02	Professional		$741.31	$851.14	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $562.34	Facility		$309.03	$309.03	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $331.13 / $602.56	Professional		$309.03	$331.13	$602.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54