Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,080.00 / $4,100.00	Facility		$1,017.00	$2,080.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.34 / $186.34 / $186.34	Professional		$186.34	$186.34	$186.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $272.58 / $272.58 / $297.11	Professional		$272.58	$272.58	$297.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.09 / $383.47 / $383.47	Professional		$177.09	$383.47	$383.47
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.95 / $447.38 / $621.96	Professional		$232.95	$447.38	$621.96