Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.23 / $1,614.00 / $7,727.00	Facility		$185.23	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.23 / $185.23 / $185.23	Professional		$185.23	$185.23	$185.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $257.73 / $257.73 / $5,359.00	Professional		$257.73	$257.73	$5,359.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.81 / $411.26 / $411.26	Professional		$125.81	$411.26	$411.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.37 / $346.18 / $860.00	Professional		$210.37	$346.18	$860.00