Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.14 / $1,614.00 / $7,727.00	Facility		$275.14	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.14 / $275.14 / $275.14	Professional		$275.14	$275.14	$275.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,186.00 / $15,765.00 / $19,000.00	Professional		$4,186.00	$15,765.00	$19,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.01 / $567.30 / $567.30	Professional		$262.01	$567.30	$567.30
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 $651.22 / $730.35 / $1,701.74	Professional		$651.22	$730.35	$1,701.74