Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.48 / $4,100.00 / $6,945.00	Facility		$1,157.48	$4,100.00	$6,945.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,157.48 / $1,157.48 / $1,157.48	Professional		$1,157.48	$1,157.48	$1,157.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,111.51 / $1,111.51 / $5,359.00	Professional		$1,111.51	$1,111.51	$5,359.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,115.10 / $1,793.41 / $3,149.27	Professional		$1,115.10	$1,793.41	$3,149.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,239.01 / $2,573.21 / $2,573.21	Professional		$1,239.01	$2,573.21	$2,573.21
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 $889.52 / $1,489.60 / $3,115.47	Professional		$889.52	$1,489.60	$3,115.47