Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,302.55 / $4,100.00 / $6,945.00	Facility		$1,302.55	$4,100.00	$6,945.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,302.55 / $1,302.55 / $1,302.55	Professional		$1,302.55	$1,302.55	$1,302.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,492.00 / $7,883.00 / $15,324.00	Professional		$4,492.00	$7,883.00	$15,324.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,239.66 / $2,685.05 / $2,685.05	Professional		$1,239.66	$2,685.05	$2,685.05
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $12,159.00 / $40,126.94	Facility		$4,062.00	$12,159.00	$40,126.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,084.28 / $2,389.06 / $3,304.82	Professional		$1,084.28	$2,389.06	$3,304.82