Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.30 / $3,575.00 / $4,601.00	Facility		$639.30	$3,575.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.02 / $379.02 / $639.30	Professional		$379.02	$379.02	$639.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $367.02 / $414.82 / $2,116.00	Professional		$367.02	$414.82	$2,116.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.30 / $762.20 / $1,717.14	Professional		$377.30	$762.20	$1,717.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $845.32 / $1,402.64 / $1,402.64	Professional		$845.32	$1,402.64	$1,402.64
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 $404.60 / $803.37 / $1,698.22	Professional		$404.60	$803.37	$1,698.22