Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $2,137.96 / $7,762.47	Facility		$107.15	$2,137.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $95.50 / $112.20	Professional		$26.92	$95.50	$112.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $426.58 / $1,258.93	Professional		$60.26	$426.58	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $117.49 / $234.42	Professional		$109.65	$117.49	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $549.54 / $5,888.44	Facility		$165.96	$549.54	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $257.04	Professional		$81.28	$120.23	$257.04