Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,380.38	Professional		$912.01	$1,071.52	$1,380.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,047.13 / $1,202.26	Professional		$933.25	$1,047.13	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,513.56 / $1,949.84	Professional		$1,318.26	$1,513.56	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $1,000.00	Facility		$549.54	$549.54	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $588.84 / $1,047.13	Professional		$549.54	$588.84	$1,047.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65