Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $457.09	Professional		$309.03	$380.19	$457.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $371.54 / $426.58	Professional		$338.84	$371.54	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $537.03 / $691.83	Professional		$467.74	$537.03	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $354.81	Facility		$194.98	$194.98	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $208.93 / $380.19	Professional		$194.98	$208.93	$380.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42