Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.22 / $496.00 / $3,615.44	Professional		$92.22	$496.00	$3,615.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $102.43 / $107.96 / $121.99	Professional		$102.43	$107.96	$121.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,521.39 / $6,539.32 / $8,878.29	Professional		$4,521.39	$6,539.32	$8,878.29
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 $1,651.17 / $2,124.59 / $4,699.47	Professional		$1,651.17	$2,124.59	$4,699.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6,539.32 / $6,539.32 / $6,806.69	Professional		$6,539.32	$6,539.32	$6,806.69