Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $4,265.80 / $6,456.54	Professional		$616.60	$4,265.80	$6,456.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $776.25 / $933.25	Professional		$691.83	$776.25	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $12,022.64 / $16,595.87	Professional		$9,549.93	$12,022.64	$16,595.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $11,481.54	Professional		$331.13	$524.81	$11,481.54