Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,951.21 / $3,548.13	Professional		$2,570.40	$2,951.21	$3,548.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,951.21 / $3,388.44	Professional		$2,630.27	$2,951.21	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,265.80 / $5,495.41	Professional		$3,715.35	$4,265.80	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,818.38	Facility		$1,548.82	$1,548.82	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,659.59 / $2,951.21	Professional		$1,548.82	$1,659.59	$2,951.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,951.21 / $2,951.21	Professional		$1,819.70	$2,951.21	$2,951.21