Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $4,975.00 / $15,893.00	Facility		$1,614.00	$4,975.00	$15,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.90 / $553.90 / $553.90	Professional		$553.90	$553.90	$553.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,594.00 / $6,701.00 / $9,089.00	Professional		$3,594.00	$6,701.00	$9,089.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,143.68 / $1,143.68 / $1,143.68	Professional		$1,143.68	$1,143.68	$1,143.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $504.01 / $1,183.01 / $1,430.28	Professional		$504.01	$1,183.01	$1,430.28