Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $6,150.00 / $41,179.92	Facility		$1,614.00	$6,150.00	$41,179.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10,453.09 / $10,453.09 / $10,453.09	Professional		$10,453.09	$10,453.09	$10,453.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,414.22 / $1,541.50 / $28,944.00	Professional		$1,414.22	$1,541.50	$28,944.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9,376.71 / $9,376.71 / $9,376.71	Professional		$9,376.71	$9,376.71	$9,376.71
United Facility/Professional Facility Modifier Low / Median / High Price $7,840.00 / $10,006.00 / $47,612.00	Facility		$7,840.00	$10,006.00	$47,612.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,875.78 / $12,607.78 / $22,308.40	Professional		$3,875.78	$12,607.78	$22,308.40