Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,666.91 / $1,777.51 / $6,746.85	Professional		$1,666.91	$1,777.51	$6,746.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $358.24 / $372.40 / $472.95	Professional		$358.24	$372.40	$472.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $789.17 / $1,357.36 / $2,439.71	Professional		$789.17	$1,357.36	$2,439.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,151.57 / $1,682.99 / $2,574.57	Professional		$1,151.57	$1,682.99	$2,574.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,052.22 / $1,052.22 / $1,487.85	Professional		$1,052.22	$1,052.22	$1,487.85