Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $4,073.80 / $6,760.83	Facility		$478.63	$4,073.80	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $758.58	Professional		$173.78	$204.17	$758.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $6,309.57 / $37,153.52	Professional		$131.83	$6,309.57	$37,153.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $281.84 / $467.74	Professional		$269.15	$281.84	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $16,218.10 / $42,657.95	Facility		$4,073.80	$16,218.10	$42,657.95
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $602.56	Professional		$151.36	$218.78	$602.56