Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,080.00 / $4,100.00	Facility		$1,017.00	$2,080.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $173.59 / $173.59	Professional		$20.00	$173.59	$173.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $450.43 / $450.43 / $1,643.00	Professional		$450.43	$450.43	$1,643.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $256.45 / $418.72 / $418.72	Professional		$256.45	$418.72	$418.72
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.90 / $205.93 / $504.31	Professional		$163.90	$205.93	$504.31