Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $9,567.00 / $15,893.00	Facility		$1,614.00	$9,567.00	$15,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $900.75 / $900.75 / $900.75	Professional		$900.75	$900.75	$900.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15,641.00 / $18,127.00 / $34,052.00	Professional		$15,641.00	$18,127.00	$34,052.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,858.09 / $1,858.09 / $1,858.09	Professional		$1,858.09	$1,858.09	$1,858.09
United Facility/Professional Facility Modifier Low / Median / High Price $29,924.00 / $45,102.00 / $151,718.00	Facility		$29,924.00	$45,102.00	$151,718.00
United Facility/Professional Professional Modifier Low / Median / High Price $866.18 / $1,503.04 / $2,033.29	Professional		$866.18	$1,503.04	$2,033.29