Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.72 / $538.72 / $538.72	Professional		$538.72	$538.72	$538.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $764.96 / $764.96 / $853.16	Professional		$764.96	$764.96	$853.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $792.96 / $792.96 / $792.96	Professional		$792.96	$792.96	$792.96
United Facility/Professional Professional Modifier Low / Median / High Price $383.32 / $641.15 / $641.15	Professional		$383.32	$641.15	$641.15