Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.89 / $271.02 / $271.02	Professional		$234.89	$271.02	$271.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $289.10 / $289.10 / $329.57	Professional		$289.10	$289.10	$329.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $361.37 / $415.58 / $542.05	Professional		$361.37	$415.58	$542.05
United Facility/Professional Professional Modifier Low / Median / High Price $151.78 / $162.62 / $288.93	Professional		$151.78	$162.62	$288.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $180.69 / $180.69 / $180.69	Professional		$180.69	$180.69	$180.69