Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,117.00 / $2,761.00 / $4,100.00	Facility		$1,117.00	$2,761.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,608.94 / $1,608.94 / $1,608.94	Professional		$1,608.94	$1,608.94	$1,608.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,841.00 / $3,430.00 / $19,073.00	Professional		$1,841.00	$3,430.00	$19,073.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $11,668.72 / $41,544.00	Facility		$4,062.00	$11,668.72	$41,544.00