Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.63 / $131.11 / $131.11	Professional		$113.63	$131.11	$131.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $139.85 / $139.85 / $159.43	Professional		$139.85	$139.85	$159.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $209.77 / $305.22	Professional		$174.81	$209.77	$305.22
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $78.66 / $159.07	Professional		$73.42	$78.66	$159.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.41 / $87.41 / $87.41	Professional		$87.41	$87.41	$87.41