Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,388.75 / $2,719.50 / $2,756.25	Professional		$2,388.75	$2,719.50	$2,756.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,307.50 / $3,675.00 / $4,189.50	Professional		$3,307.50	$3,675.00	$4,189.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,675.00 / $4,410.00 / $5,512.50	Professional		$3,675.00	$4,410.00	$5,512.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,543.50 / $1,543.50 / $1,543.50	Facility		$1,543.50	$1,543.50	$1,543.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,543.50 / $1,754.45 / $3,344.18	Professional		$1,543.50	$1,754.45	$3,344.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,837.50 / $2,921.60 / $2,921.60	Professional		$1,837.50	$2,921.60	$2,921.60