Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.73 / $3,999.00 / $6,456.00	Facility		$1,038.73	$3,999.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,038.73 / $1,038.73 / $1,038.73	Professional		$1,038.73	$1,038.73	$1,038.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,024.32 / $1,111.86 / $4,930.00	Professional		$1,024.32	$1,111.86	$4,930.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,078.16 / $2,265.77 / $2,265.77	Professional		$1,078.16	$2,265.77	$2,265.77
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
United Facility/Professional Professional Modifier Low / Median / High Price $718.34 / $1,840.17 / $2,743.23	Professional		$718.34	$1,840.17	$2,743.23