Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.34 / $856.55 / $856.55	Professional		$742.34	$856.55	$856.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $913.65 / $913.65 / $1,041.56	Professional		$913.65	$913.65	$1,041.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,142.06 / $1,313.37 / $1,713.09	Professional		$1,142.06	$1,313.37	$1,713.09
United Facility/Professional Professional Modifier Low / Median / High Price $479.67 / $513.92 / $856.55	Professional		$479.67	$513.92	$856.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $571.03 / $571.03 / $571.03	Professional		$571.03	$571.03	$571.03