Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $34.67	Professional		$22.91	$26.92	$34.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $26.92 / $30.20	Professional		$24.55	$26.92	$30.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.90 / $51.29	Professional		$33.88	$38.90	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $25.70	Facility		$14.13	$14.13	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $27.54	Professional		$14.13	$15.14	$27.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98