Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,311.31 / $4,168.69	Professional		$2,754.23	$3,311.31	$4,168.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,344.23 / $2,818.38	Professional		$2,089.30	$2,344.23	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,168.69 / $5,370.32	Professional		$3,630.78	$4,168.69	$5,370.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,951.21	Facility		$1,659.59	$1,659.59	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,778.28 / $3,162.28	Professional		$1,659.59	$1,778.28	$3,162.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28