Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $4,073.80 / $7,762.47	Facility		$208.93	$4,073.80	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $204.17 / $213.80	Professional		$181.97	$204.17	$213.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,454.71	Professional		$1,202.26	$1,659.59	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,659.59 / $1,778.28	Professional		$436.52	$1,659.59	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $6,606.93 / $26,302.68	Facility		$1,023.29	$6,606.93	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $489.78	Professional		$165.96	$239.88	$489.78