Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $2,754.23 / $4,073.80	Facility		$239.88	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $380.19	Professional		$131.83	$204.17	$380.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $288.40 / $2,454.71	Professional		$141.25	$288.40	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $457.09	Professional		$141.25	$218.78	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $537.03	Professional		$239.88	$338.84	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,737.80 / $5,128.61	Facility		$741.31	$1,737.80	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $457.09	Professional		$125.89	$213.80	$457.09