Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.07 / $548.80 / $556.23	Professional		$482.07	$548.80	$556.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $593.30 / $667.48 / $760.93	Professional		$593.30	$667.48	$760.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.64 / $889.97 / $1,112.46	Professional		$741.64	$889.97	$1,112.46
United Facility/Professional Professional Modifier Low / Median / High Price $311.49 / $333.74 / $652.64	Professional		$311.49	$333.74	$652.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $370.82 / $370.82 / $370.82	Professional		$370.82	$370.82	$370.82