Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $5,370.32 / $5,370.32	Facility		$186.21	$5,370.32	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $426.58	Professional		$74.13	$87.10	$426.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $93.33 / $114.82	Professional		$85.11	$93.33	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $81.28 / $144.54	Professional		$70.79	$81.28	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $165.96	Professional		$70.79	$97.72	$165.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $107.15	Professional		$66.07	$91.20	$107.15