Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.02 / $3,999.00 / $6,456.00	Facility		$428.02	$3,999.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.89 / $305.72 / $428.02	Professional		$272.89	$305.72	$428.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $299.72 / $313.47 / $3,430.00	Professional		$299.72	$313.47	$3,430.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.95 / $551.79 / $1,153.76	Professional		$270.95	$551.79	$1,153.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $610.77 / $944.68 / $944.68	Professional		$610.77	$944.68	$944.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $310.25 / $571.69 / $1,143.75	Professional		$310.25	$571.69	$1,143.75