Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $868.46 / $1,002.07 / $1,002.07	Professional		$868.46	$1,002.07	$1,002.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,068.86 / $1,068.86 / $1,218.51	Professional		$1,068.86	$1,068.86	$1,218.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,336.09 / $1,536.50 / $2,004.14	Professional		$1,336.09	$1,536.50	$2,004.14
United Facility/Professional Facility Modifier Low / Median / High Price $561.16 / $561.16 / $561.16	Facility		$561.16	$561.16	$561.16
United Facility/Professional Professional Modifier Low / Median / High Price $561.16 / $601.24 / $1,068.26	Professional		$561.16	$601.24	$1,068.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $668.05 / $668.05 / $668.05	Professional		$668.05	$668.05	$668.05