Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.25 / $258.72 / $262.22	Professional		$227.25	$258.72	$262.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $279.70 / $279.70 / $318.86	Professional		$279.70	$279.70	$318.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $349.62 / $419.54 / $610.44	Professional		$349.62	$419.54	$610.44
United Facility/Professional Professional Modifier Low / Median / High Price $146.84 / $157.33 / $349.62	Professional		$146.84	$157.33	$349.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $174.81 / $174.81	Professional		$174.81	$174.81	$174.81