Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,947.05 / $2,947.05 / $2,947.05	Facility		$2,947.05	$2,947.05	$2,947.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,947.05 / $2,947.05 / $2,947.05	Professional		$2,947.05	$2,947.05	$2,947.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5,157.80 / $7,706.70 / $7,706.70	Professional		$5,157.80	$7,706.70	$7,706.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,147.77 / $4,147.77 / $10,525.04	Professional		$4,147.77	$4,147.77	$10,525.04
United Facility/Professional Professional Modifier Low / Median / High Price $2,096.98 / $3,507.43 / $5,228.57	Professional		$2,096.98	$3,507.43	$5,228.57