Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $68.70 / $106.99	Professional		$64.70	$68.70	$106.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.08 / $76.43 / $86.37	Professional		$72.08	$76.43	$86.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.53 / $116.02 / $215.68	Professional		$99.53	$116.02	$215.68
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $111.69 / $187.57	Professional		$86.76	$111.69	$187.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.84 / $107.84 / $116.00	Professional		$107.84	$107.84	$116.00