Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $4,073.80	Professional		$1,412.54	$1,698.24	$4,073.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,778.28 / $2,137.96	Professional		$1,584.89	$1,778.28	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,819.70 / $2,691.53	Professional		$1,584.89	$1,819.70	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $3,090.30	Professional		$1,258.93	$1,698.24	$3,090.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,995.26 / $2,398.83	Professional		$1,202.26	$1,995.26	$2,398.83