Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.25 / $753.08 / $1,328.37	Professional		$327.25	$753.08	$1,328.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.33 / $141.54 / $212.26	Professional		$141.33	$141.54	$212.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $248.89 / $321.07 / $559.79	Professional		$248.89	$321.07	$559.79
United Facility/Professional Professional Modifier Low / Median / High Price $154.31 / $266.37 / $499.00	Professional		$154.31	$266.37	$499.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $197.51 / $286.22 / $354.33	Professional		$197.51	$286.22	$354.33