Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,100.00 / $7,007.00	Facility		$1,017.00	$4,100.00	$7,007.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $767.22 / $854.01 / $854.01	Professional		$767.22	$854.01	$854.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $780.53 / $1,038.09 / $6,937.00	Professional		$780.53	$1,038.09	$6,937.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $615.84 / $713.08 / $1,355.24	Professional		$615.84	$713.08	$1,355.24
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 $620.34 / $765.35 / $1,999.51	Professional		$620.34	$765.35	$1,999.51