Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,296.27 / $4,296.27 / $4,296.27	Facility		$4,296.27	$4,296.27	$4,296.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.25 / $656.25 / $1,758.75	Professional		$656.25	$656.25	$1,758.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,036.38 / $1,036.38 / $1,191.83	Professional		$1,036.38	$1,036.38	$1,191.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,788.00 / $3,277.00 / $3,645.00	Professional		$2,788.00	$3,277.00	$3,645.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,028.00 / $1,028.00 / $1,028.00	Facility		$1,028.00	$1,028.00	$1,028.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,100.00 / $1,100.00 / $1,100.00	Professional		$1,100.00	$1,100.00	$1,100.00