Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,584.89 / $4,073.80	Facility		$295.12	$1,584.89	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $602.56	Professional		$199.53	$251.19	$602.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $1,071.52 / $4,073.80	Professional		$218.78	$1,071.52	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $588.84	Professional		$218.78	$281.84	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $512.86 / $660.69	Professional		$309.03	$512.86	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,737.80 / $8,128.31	Facility		$741.31	$1,737.80	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $602.56	Professional		$190.55	$269.15	$602.56