Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,142.59 / $4,743.00 / $10,204.00	Facility		$1,142.59	$4,743.00	$10,204.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,142.59 / $1,142.59 / $1,142.59	Professional		$1,142.59	$1,142.59	$1,142.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,208.04 / $1,254.83 / $13,025.00	Professional		$1,208.04	$1,254.83	$13,025.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,110.26 / $1,965.94 / $3,049.54	Professional		$1,110.26	$1,965.94	$3,049.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,233.61 / $2,557.08 / $2,557.08	Professional		$1,233.61	$2,557.08	$2,557.08
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $4,165.00 / $26,408.00	Facility		$3,261.00	$4,165.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $850.69 / $1,446.16 / $3,095.93	Professional		$850.69	$1,446.16	$3,095.93