Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.90 / $3,999.00 / $6,456.00	Facility		$1,052.90	$3,999.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $984.66 / $1,052.90 / $1,052.90	Professional		$984.66	$1,052.90	$1,052.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,117.55 / $1,486.34 / $5,000.00	Professional		$1,117.55	$1,486.34	$5,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $845.96 / $979.53 / $2,171.00	Professional		$845.96	$979.53	$2,171.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,338.00 / $9,938.00 / $26,408.00	Facility		$2,338.00	$9,938.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $876.32 / $1,029.31 / $2,872.49	Professional		$876.32	$1,029.31	$2,872.49