Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $141.25	Professional		$93.33	$109.65	$141.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $107.15 / $120.23	Professional		$95.50	$107.15	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $154.88 / $199.53	Professional		$134.90	$154.88	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $102.33	Facility		$56.23	$56.23	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $60.26 / $109.65	Professional		$56.23	$60.26	$109.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61