Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $540.00 / $540.00	Professional		$468.00	$540.00	$540.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $576.00 / $576.00 / $656.64	Professional		$576.00	$576.00	$656.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $864.00 / $1,080.00	Professional		$720.00	$864.00	$1,080.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $343.73 / $575.66	Professional		$302.39	$343.73	$575.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $572.40 / $572.40	Professional		$360.00	$572.40	$572.40