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 $455.30 / $455.30 / $2,400.00	Professional		$455.30	$455.30	$2,400.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $472.96 / $472.96 / $1,643.00	Professional		$472.96	$472.96	$1,643.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $587.67 / $1,046.83 / $1,046.83	Professional		$587.67	$1,046.83	$1,046.83
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 $370.42 / $481.29 / $1,139.76	Professional		$370.42	$481.29	$1,139.76