Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $4,047.00 / $15,893.00	Facility		$1,614.00	$4,047.00	$15,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.47 / $354.47 / $354.47	Professional		$354.47	$354.47	$354.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,228.00 / $1,643.00 / $2,368.00	Professional		$1,228.00	$1,643.00	$2,368.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $730.94 / $730.94 / $730.94	Professional		$730.94	$730.94	$730.94
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $762.00 / $6,342.00	Facility		$665.00	$762.00	$6,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $322.33 / $560.39 / $918.42	Professional		$322.33	$560.39	$918.42