Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,058.68 / $3,999.00 / $6,456.00	Facility		$1,058.68	$3,999.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,058.68 / $1,058.68 / $1,058.68	Professional		$1,058.68	$1,058.68	$1,058.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,103.20 / $1,145.77 / $4,930.00	Professional		$1,103.20	$1,145.77	$4,930.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,013.92 / $1,870.25 / $2,823.12	Professional		$1,013.92	$1,870.25	$2,823.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,126.58 / $2,334.84 / $2,334.84	Professional		$1,126.58	$2,334.84	$2,334.84
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 $829.95 / $1,948.23 / $2,826.86	Professional		$829.95	$1,948.23	$2,826.86