Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $4,848.00 / $6,751.45	Facility		$1,614.00	$4,848.00	$6,751.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,751.45 / $6,751.45 / $6,751.45	Professional		$6,751.45	$6,751.45	$6,751.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $768.13 / $837.26 / $13,025.00	Professional		$768.13	$837.26	$13,025.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13,194.91 / $13,194.91 / $13,194.91	Professional		$13,194.91	$13,194.91	$13,194.91
United Facility/Professional Facility Modifier Low / Median / High Price $7,840.00 / $10,006.00 / $47,612.00	Facility		$7,840.00	$10,006.00	$47,612.00
United Facility/Professional Professional Modifier Low / Median / High Price $820.63 / $1,710.06 / $27,765.56	Professional		$820.63	$1,710.06	$27,765.56