Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.36 / $518.41 / $525.41	Professional		$455.36	$518.41	$525.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $560.45 / $630.50 / $718.77	Professional		$560.45	$630.50	$718.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $700.56 / $840.67 / $1,050.83	Professional		$700.56	$840.67	$1,050.83
United Facility/Professional Facility Modifier Low / Median / High Price $294.24 / $294.24 / $294.24	Facility		$294.24	$294.24	$294.24
United Facility/Professional Professional Modifier Low / Median / High Price $294.24 / $315.25 / $630.50	Professional		$294.24	$315.25	$630.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $350.28 / $350.28 / $350.28	Professional		$350.28	$350.28	$350.28