Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $7,287.00 / $10,124.45	Facility		$1,614.00	$7,287.00	$10,124.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10,124.45 / $10,124.45 / $10,124.45	Professional		$10,124.45	$10,124.45	$10,124.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $768.13 / $837.26 / $15,324.00	Professional		$768.13	$837.26	$15,324.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22,212.86 / $22,212.86 / $22,212.86	Professional		$22,212.86	$22,212.86	$22,212.86
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 $598.03 / $947.08 / $27,765.56	Professional		$598.03	$947.08	$27,765.56