Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $2,137.96 / $7,762.47	Facility		$302.00	$2,137.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $302.00	Professional		$173.78	$263.03	$302.00
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 $346.74 / $363.08 / $630.96	Professional		$346.74	$363.08	$630.96
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 $257.04 / $398.11 / $776.25	Professional		$257.04	$398.11	$776.25