Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.77 / $197.04 / $197.04	Professional		$170.77	$197.04	$197.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $210.18 / $210.18 / $239.61	Professional		$210.18	$210.18	$239.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.72 / $302.13 / $394.08	Professional		$262.72	$302.13	$394.08
United Facility/Professional Professional Modifier Low / Median / High Price $110.34 / $118.22 / $212.77	Professional		$110.34	$118.22	$212.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.36 / $131.36 / $131.36	Professional		$131.36	$131.36	$131.36