Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $616.60 / $794.33	Professional		$524.81	$616.60	$794.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $602.56 / $676.08	Professional		$537.03	$602.56	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $1,122.02	Professional		$758.58	$870.96	$1,122.02
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 / $602.56	Professional		$316.23	$338.84	$602.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54