Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,162.00 / $6,773.21	Facility		$1,017.00	$3,162.00	$6,773.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.82 / $99.71 / $99.71	Professional		$84.82	$99.71	$99.71
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 $93.51 / $216.87 / $216.87	Professional		$93.51	$216.87	$216.87
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 $57.79 / $78.56 / $208.02	Professional		$57.79	$78.56	$208.02