Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,513.56 / $1,995.26	Professional		$1,318.26	$1,513.56	$1,995.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,479.11 / $1,659.59	Professional		$1,348.96	$1,479.11	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,137.96 / $2,818.38	Professional		$1,862.09	$2,137.96	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $1,412.54	Facility		$776.25	$776.25	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $831.76 / $1,513.56	Professional		$776.25	$831.76	$1,513.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25