Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.58 / $535.40 / $1,202.59	Facility		$345.58	$535.40	$1,202.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.17 / $693.71 / $790.27	Professional		$446.17	$693.71	$790.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $743.78 / $743.78 / $743.78	Professional		$743.78	$743.78	$743.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $750.75 / $883.24 / $1,068.31	Professional		$750.75	$883.24	$1,068.31
United Facility/Professional Professional Modifier Low / Median / High Price $883.24 / $883.24 / $929.73	Professional		$883.24	$883.24	$929.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $222.76 / $222.76 / $222.76	Professional		$222.76	$222.76	$222.76