Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $1,614.00 / $7,727.00	Facility		$1,017.00	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $941.73 / $1,060.53 / $1,060.53	Professional		$941.73	$1,060.53	$1,060.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,841.00 / $3,430.00 / $5,899.00	Professional		$1,841.00	$3,430.00	$5,899.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,073.68 / $2,186.73 / $2,186.73	Professional		$1,073.68	$2,186.73	$2,186.73
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $10,819.00 / $28,056.00	Facility		$3,261.00	$10,819.00	$28,056.00
United Facility/Professional Professional Modifier Low / Median / High Price $702.41 / $1,012.89 / $2,531.25	Professional		$702.41	$1,012.89	$2,531.25