Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,080.00 / $4,100.00	Facility		$1,017.00	$2,080.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.84 / $123.84 / $123.84	Professional		$123.84	$123.84	$123.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $153.56 / $2,176.00 / $4,931.00	Professional		$153.56	$2,176.00	$4,931.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $276.33 / $276.33 / $276.33	Professional		$276.33	$276.33	$276.33
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.92 / $244.03 / $329.77	Professional		$89.92	$244.03	$329.77