Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.01 / $344.97 / $349.63	Professional		$303.01	$344.97	$349.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $372.94 / $428.88 / $488.92	Professional		$372.94	$428.88	$488.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $466.17 / $536.10 / $699.26	Professional		$466.17	$536.10	$699.26
United Facility/Professional Facility Modifier Low / Median / High Price $195.79 / $195.79 / $195.79	Facility		$195.79	$195.79	$195.79
United Facility/Professional Professional Modifier Low / Median / High Price $195.79 / $209.78 / $372.72	Professional		$195.79	$209.78	$372.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $233.09 / $233.09 / $233.09	Professional		$233.09	$233.09	$233.09