Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,890.45 / $5,011.87	Professional		$3,311.31	$3,890.45	$5,011.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,801.89 / $4,265.80	Professional		$3,467.37	$3,801.89	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,495.41 / $7,244.36	Professional		$4,786.30	$5,495.41	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $3,630.78	Facility		$1,995.26	$1,995.26	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,137.96 / $3,890.45	Professional		$1,995.26	$2,137.96	$3,890.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83