Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,080.00 / $4,100.00	Facility		$1,017.00	$2,080.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.63 / $193.63 / $193.63	Professional		$193.63	$193.63	$193.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $100.78 / $1,410.00	Professional		$100.78	$100.78	$1,410.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.54 / $426.99 / $426.99	Professional		$197.54	$426.99	$426.99
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 $141.08 / $216.32 / $483.96	Professional		$141.08	$216.32	$483.96