Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $363.08 / $467.74	Professional		$309.03	$363.08	$467.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $354.81 / $398.11	Professional		$316.23	$354.81	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $512.86 / $660.69	Professional		$446.68	$512.86	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $338.84	Facility		$186.21	$186.21	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $199.53 / $363.08	Professional		$186.21	$199.53	$363.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87