Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $5,076.00 / $6,945.00	Facility		$1,017.00	$5,076.00	$6,945.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.36 / $876.36 / $876.36	Professional		$876.36	$876.36	$876.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,300.00 / $4,290.00 / $9,089.00	Professional		$2,300.00	$4,290.00	$9,089.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,807.82 / $1,807.82 / $1,807.82	Professional		$1,807.82	$1,807.82	$1,807.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $328.05 / $512.58 / $1,006.20	Professional		$328.05	$512.58	$1,006.20