Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.00 / $114.00 / $114.00	Facility		$114.00	$114.00	$114.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $114.00 / $114.00	Professional		$114.00	$114.00	$114.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $169.33 / $169.33 / $184.57	Professional		$169.33	$169.33	$184.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.45 / $255.45 / $255.45	Professional		$255.45	$255.45	$255.45
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 $157.12 / $245.50 / $469.63	Professional		$157.12	$245.50	$469.63