Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,100.00 / $6,945.00	Facility		$1,017.00	$4,100.00	$6,945.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.39 / $711.39 / $711.39	Professional		$711.39	$711.39	$711.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $719.88 / $771.77 / $7,812.00	Professional		$719.88	$771.77	$7,812.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $683.59 / $1,136.67 / $1,892.10	Professional		$683.59	$1,136.67	$1,892.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $759.54 / $1,572.70 / $1,572.70	Professional		$759.54	$1,572.70	$1,572.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $543.73 / $948.29 / $1,904.11	Professional		$543.73	$948.29	$1,904.11