Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $1,793.00 / $4,100.00	Facility		$1,017.00	$1,793.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.63 / $217.63 / $217.63	Professional		$217.63	$217.63	$217.63
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 $221.11 / $478.74 / $478.74	Professional		$221.11	$478.74	$478.74
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 $311.47 / $509.57 / $739.87	Professional		$311.47	$509.57	$739.87