Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $1,614.00 / $7,727.00	Facility		$107.00	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $107.00 / $107.00	Professional		$107.00	$107.00	$107.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.19 / $67.19 / $1,021.00	Professional		$67.19	$67.19	$1,021.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.81 / $236.38 / $236.38	Professional		$108.81	$236.38	$236.38
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 $80.83 / $179.53 / $261.55	Professional		$80.83	$179.53	$261.55