Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.60 / $1,614.00 / $7,727.00	Facility		$52.60	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.30 / $67.23 / $84.82	Professional		$47.30	$67.23	$84.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.01 / $48.01 / $660.00	Professional		$48.01	$48.01	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.72 / $74.42 / $177.09	Professional		$45.72	$74.42	$177.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.44 / $190.48 / $190.48	Professional		$86.44	$190.48	$190.48
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.68 / $79.38 / $220.12	Professional		$58.68	$79.38	$220.12