Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,999.00 / $6,456.00	Facility		$1,017.00	$3,999.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.17 / $557.17 / $557.17	Professional		$557.17	$557.17	$557.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,300.00 / $4,290.00 / $9,089.00	Professional		$2,300.00	$4,290.00	$9,089.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $563.85 / $1,220.21 / $1,220.21	Professional		$563.85	$1,220.21	$1,220.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $408.47 / $703.86 / $1,501.86	Professional		$408.47	$703.86	$1,501.86