Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $4,073.80	Professional		$2,691.53	$3,162.28	$4,073.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,090.30 / $3,467.37	Professional		$2,818.38	$3,090.30	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,466.84 / $5,754.40	Professional		$3,890.45	$4,466.84	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,951.21	Facility		$1,621.81	$1,621.81	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,737.80 / $3,162.28	Professional		$1,621.81	$1,737.80	$3,162.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84