Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,117.00 / $2,080.00 / $4,100.00	Facility		$1,117.00	$2,080.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,616.27 / $1,616.27 / $1,616.27	Professional		$1,616.27	$1,616.27	$1,616.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $807.07 / $807.07 / $879.71	Professional		$807.07	$807.07	$879.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,503.40 / $2,901.15 / $2,901.15	Professional		$1,503.40	$2,901.15	$2,901.15
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $1,319.00 / $16,382.00	Facility		$645.00	$1,319.00	$16,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $615.53 / $884.82 / $1,711.14	Professional		$615.53	$884.82	$1,711.14