Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,148.15	Professional		$891.25	$891.25	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,398.83 / $3,311.31	Professional		$1,096.48	$2,398.83	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $831.76 / $1,258.93	Professional		$549.54	$831.76	$1,258.93