Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,140.75 / $1,316.25 / $1,316.25	Professional		$1,140.75	$1,316.25	$1,316.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,404.00 / $1,404.00 / $1,600.56	Professional		$1,404.00	$1,404.00	$1,600.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,755.00 / $2,018.25 / $2,632.50	Professional		$1,755.00	$2,018.25	$2,632.50
United Facility/Professional Facility Modifier Low / Median / High Price $737.10 / $737.10 / $737.10	Facility		$737.10	$737.10	$737.10
United Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $807.30 / $1,597.01	Professional		$737.10	$807.30	$1,597.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $877.50 / $877.50 / $877.50	Professional		$877.50	$877.50	$877.50