Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.43 / $1,614.00 / $7,727.00	Facility		$68.43	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.43 / $68.43 / $68.43	Professional		$68.43	$68.43	$68.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,228.00 / $2,058.00 / $5,899.00	Professional		$1,228.00	$2,058.00	$5,899.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.78 / $140.34 / $140.34	Professional		$46.78	$140.34	$140.34
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $4,165.00 / $26,408.00	Facility		$3,261.00	$4,165.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $54.50 / $162.55	Professional		$30.98	$54.50	$162.55