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 $178.91 / $323.91 / $323.91	Professional		$178.91	$323.91	$323.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $380.00 / $391.40	Professional		$380.00	$380.00	$391.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $337.41 / $667.92 / $667.92	Professional		$337.41	$667.92	$667.92
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $762.00 / $6,342.00	Facility		$665.00	$762.00	$6,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.96 / $317.77 / $453.77	Professional		$121.96	$317.77	$453.77