Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,869.97 / $2,869.97 / $2,869.97	Professional		$2,869.97	$2,869.97	$2,869.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,138.60 / $4,138.60 / $4,138.68	Professional		$4,138.60	$4,138.60	$4,138.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,313.93 / $4,313.93 / $4,313.93	Professional		$4,313.93	$4,313.93	$4,313.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,906.64 / $2,859.96 / $3,064.43	Professional		$1,906.64	$2,859.96	$3,064.43