Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.41 / $595.87 / $595.87	Professional		$516.41	$595.87	$595.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $635.59 / $635.59 / $724.57	Professional		$635.59	$635.59	$724.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.49 / $913.66 / $1,191.74	Professional		$794.49	$913.66	$1,191.74
United Facility/Professional Professional Modifier Low / Median / High Price $333.69 / $397.25 / $715.04	Professional		$333.69	$397.25	$715.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $397.25 / $397.25 / $397.25	Professional		$397.25	$397.25	$397.25