Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,761.00 / $4,100.00	Facility		$1,017.00	$2,761.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.54 / $70.54 / $70.54	Professional		$70.54	$70.54	$70.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $39.43 / $596.00	Professional		$39.43	$39.43	$596.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.13 / $169.02 / $169.02	Professional		$87.13	$169.02	$169.02
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 $18.18 / $28.41 / $293.77	Professional		$18.18	$28.41	$293.77