Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.02 / $1,614.00 / $7,727.00	Facility		$218.02	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.02 / $218.02 / $218.02	Professional		$218.02	$218.02	$218.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $118.45 / $118.45 / $1,410.00	Professional		$118.45	$118.45	$1,410.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.68 / $473.54 / $473.54	Professional		$218.68	$473.54	$473.54
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $762.00 / $6,342.00	Facility		$665.00	$762.00	$6,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.01 / $358.38 / $523.87	Professional		$161.01	$358.38	$523.87