Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.44 / $1,614.00 / $7,727.00	Facility		$179.44	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.44 / $179.44 / $179.44	Professional		$179.44	$179.44	$179.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $472.00 / $638.00 / $5,899.00	Professional		$472.00	$638.00	$5,899.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.85 / $369.95 / $369.95	Professional		$170.85	$369.95	$369.95
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 $142.03 / $405.26 / $455.34	Professional		$142.03	$405.26	$455.34