Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,761.00 / $4,100.00	Facility		$1,017.00	$2,761.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.92 / $224.92 / $224.92	Professional		$224.92	$224.92	$224.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,030.00 / $6,010.00 / $10,000.00	Professional		$1,030.00	$6,010.00	$10,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.01 / $463.01 / $463.01	Professional		$262.01	$463.01	$463.01
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $4,165.00 / $26,408.00	Facility		$3,261.00	$4,165.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.25 / $303.51 / $678.94	Professional		$194.25	$303.51	$678.94