Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,476.00 / $1,476.00 / $1,476.00	Facility		$1,476.00	$1,476.00	$1,476.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,150.81 / $1,327.86 / $1,327.86	Professional		$1,150.81	$1,327.86	$1,327.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,416.38 / $1,416.38 / $1,614.67	Professional		$1,416.38	$1,416.38	$1,614.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,770.48 / $2,036.05 / $2,655.72	Professional		$1,770.48	$2,036.05	$2,655.72
United Facility/Professional Facility Modifier Low / Median / High Price $743.60 / $743.60 / $743.60	Facility		$743.60	$743.60	$743.60
United Facility/Professional Professional Modifier Low / Median / High Price $743.60 / $814.42 / $1,433.89	Professional		$743.60	$814.42	$1,433.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $885.24 / $885.24 / $885.24	Professional		$885.24	$885.24	$885.24