Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $2,137.96 / $7,762.47	Facility		$177.83	$2,137.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $165.96 / $177.83	Professional		$83.18	$165.96	$177.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $6,165.95	Professional		$489.78	$630.96	$6,165.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $181.97 / $371.54	Professional		$173.78	$181.97	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $16,218.10 / $33,884.42	Facility		$4,073.80	$16,218.10	$33,884.42
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $426.58	Professional		$131.83	$186.21	$426.58