Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.87 / $1,614.00 / $7,727.00	Facility		$303.87	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.87 / $303.87 / $303.87	Professional		$303.87	$303.87	$303.87
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 $322.30 / $626.62 / $626.62	Professional		$322.30	$626.62	$626.62
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 $256.92 / $399.27 / $771.27	Professional		$256.92	$399.27	$771.27