Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.57 / $1,924.17 / $2,071.33	Professional		$933.57	$1,924.17	$2,071.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $402.97 / $434.81 / $504.49	Professional		$402.97	$434.81	$504.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $382.41 / $493.31 / $819.12	Professional		$382.41	$493.31	$819.12
United Facility/Professional Facility Modifier Low / Median / High Price $661.00 / $661.00 / $661.00	Facility		$661.00	$661.00	$661.00
United Facility/Professional Professional Modifier Low / Median / High Price $328.75 / $441.34 / $826.90	Professional		$328.75	$441.34	$826.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $439.77 / $439.77 / $537.55	Professional		$439.77	$439.77	$537.55