Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,001.89 / $2,220.46 / $7,727.00	Facility		$1,001.89	$2,220.46	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,001.89 / $1,001.89 / $1,001.89	Professional		$1,001.89	$1,001.89	$1,001.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,085.67 / $1,091.72 / $1,183.38	Professional		$1,085.67	$1,091.72	$1,183.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $966.79 / $2,113.46 / $2,113.46	Professional		$966.79	$2,113.46	$2,113.46
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $1,319.00 / $16,382.00	Facility		$645.00	$1,319.00	$16,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $862.63 / $1,376.15 / $2,448.78	Professional		$862.63	$1,376.15	$2,448.78