Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $947.45 / $1,004.91 / $4,014.43	Professional		$947.45	$1,004.91	$4,014.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $205.86 / $211.33 / $268.39	Professional		$205.86	$211.33	$268.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $462.50 / $795.50 / $1,430.92	Professional		$462.50	$795.50	$1,430.92
United Facility/Professional Professional Modifier Low / Median / High Price $703.58 / $982.57 / $1,512.12	Professional		$703.58	$982.57	$1,512.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.66 / $616.66 / $870.60	Professional		$616.66	$616.66	$870.60