Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $275.42	Professional		$181.97	$213.80	$275.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $234.42	Professional		$190.55	$208.93	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $302.00 / $398.11	Professional		$263.03	$302.00	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $199.53	Facility		$109.65	$109.65	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $117.49 / $213.80	Professional		$109.65	$117.49	$213.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83