Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.98 / $123.84 / $123.84	Professional		$112.98	$123.84	$123.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $153.56 / $153.56 / $2,141.00	Professional		$153.56	$153.56	$2,141.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.14 / $145.33 / $189.21	Professional		$126.14	$145.33	$189.21
United Facility/Professional Professional Modifier Low / Median / High Price $112.66 / $163.56 / $293.50	Professional		$112.66	$163.56	$293.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.80 / $97.80 / $145.06	Professional		$97.80	$97.80	$145.06