Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,412.54	Professional		$891.25	$1,071.52	$1,412.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,071.52 / $1,230.27	Professional		$954.99	$1,071.52	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,548.82 / $1,995.26	Professional		$1,348.96	$1,548.82	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $1,023.29	Facility		$562.34	$562.34	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $602.56 / $1,071.52	Professional		$562.34	$602.56	$1,071.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69