Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,153.33 / $4,100.00 / $7,007.00	Facility		$1,153.33	$4,100.00	$7,007.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,153.33 / $1,153.33 / $1,153.33	Professional		$1,153.33	$1,153.33	$1,153.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13,706.00 / $16,714.00 / $34,052.00	Professional		$13,706.00	$16,714.00	$34,052.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,107.27 / $2,527.50 / $2,527.50	Professional		$1,107.27	$2,527.50	$2,527.50
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $5,185.00 / $19,046.00	Facility		$4,062.00	$5,185.00	$19,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,168.35 / $2,794.52 / $3,850.08	Professional		$1,168.35	$2,794.52	$3,850.08