Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $1,862.09	Professional		$1,148.15	$1,412.54	$1,862.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,380.38 / $1,584.89	Professional		$1,258.93	$1,380.38	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,995.26 / $2,630.27	Professional		$1,737.80	$1,995.26	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $1,318.26	Facility		$724.44	$724.44	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $776.25 / $1,412.54	Professional		$724.44	$776.25	$1,412.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96