Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $2,951.21	Professional		$891.25	$1,071.52	$2,951.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,071.52 / $1,288.25	Professional		$954.99	$1,071.52	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $1,621.81	Professional		$891.25	$1,023.29	$1,621.81
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 $812.83 / $1,122.02 / $1,905.46	Professional		$812.83	$1,122.02	$1,905.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,348.96	Professional		$758.58	$1,148.15	$1,348.96