Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Professional		$450.00	$450.00	$450.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $505.35 / $505.35 / $551.39	Professional		$505.35	$505.35	$551.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,027.22 / $1,027.22 / $1,027.22	Professional		$1,027.22	$1,027.22	$1,027.22
United Facility/Professional Professional Modifier Low / Median / High Price $350.35 / $613.91 / $1,334.93	Professional		$350.35	$613.91	$1,334.93