Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,004.00 / $4,601.00	Facility		$1,017.00	$4,004.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.21 / $383.21 / $383.21	Professional		$383.21	$383.21	$383.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,030.00 / $1,972.00 / $3,944.00	Professional		$1,030.00	$1,972.00	$3,944.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $789.46 / $789.46 / $789.46	Professional		$789.46	$789.46	$789.46
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $424.90 / $663.90 / $1,027.33	Professional		$424.90	$663.90	$1,027.33