Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,999.00 / $6,456.00	Facility		$1,017.00	$3,999.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.43 / $868.73 / $868.73	Professional		$812.43	$868.73	$868.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $927.77 / $927.77 / $927.77	Professional		$927.77	$927.77	$927.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $827.25 / $957.87 / $1,791.30	Professional		$827.25	$957.87	$1,791.30
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 $616.75 / $822.70 / $2,037.38	Professional		$616.75	$822.70	$2,037.38