Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.34 / $1,614.00 / $7,727.00	Facility		$943.34	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $943.34 / $943.34 / $943.34	Professional		$943.34	$943.34	$943.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,436.51 / $1,436.51 / $13,203.00	Professional		$1,436.51	$1,436.51	$13,203.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $824.13 / $2,097.46 / $2,097.46	Professional		$824.13	$2,097.46	$2,097.46
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $5,185.00 / $19,046.00	Facility		$4,062.00	$5,185.00	$19,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,013.02 / $1,651.99 / $2,967.50	Professional		$1,013.02	$1,651.99	$2,967.50