Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,999.00 / $6,456.00	Facility		$1,017.00	$3,999.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $367.50 / $382.34	Professional		$367.50	$367.50	$382.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $606.44 / $606.44 / $4,930.00	Professional		$606.44	$606.44	$4,930.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,694.00 / $1,694.00 / $1,885.00	Professional		$1,694.00	$1,694.00	$1,885.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00