Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $100.60 / $100.60	Professional		$87.18	$100.60	$100.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $107.30 / $122.32	Professional		$107.30	$107.30	$122.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $160.96 / $201.20	Professional		$134.13	$160.96	$201.20
United Facility/Professional Facility Modifier Low / Median / High Price $56.33 / $56.33 / $56.33	Facility		$56.33	$56.33	$56.33
United Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $60.36 / $108.63	Professional		$56.33	$60.36	$108.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $67.06 / $67.06	Professional		$67.06	$67.06	$67.06