Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,675.00 / $2,675.00 / $2,675.00	Professional		$2,675.00	$2,675.00	$2,675.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.22 / $212.38 / $271.11	Professional		$180.22	$212.38	$271.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,229.00 / $2,229.00 / $2,229.00	Facility		$2,229.00	$2,229.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $69.94 / $373.34	Professional		$47.63	$69.94	$373.34