Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $1,614.00 / $7,727.00	Facility		$1,017.00	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,205.82 / $1,205.82 / $1,205.82	Professional		$1,205.82	$1,205.82	$1,205.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,139.42 / $1,139.42 / $1,515.43	Professional		$1,139.42	$1,139.42	$1,515.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.42 / $1,303.64 / $2,483.48	Professional		$892.42	$1,303.64	$2,483.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,154.30 / $2,154.30 / $2,154.30	Professional		$2,154.30	$2,154.30	$2,154.30
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $1,319.00 / $16,382.00	Facility		$645.00	$1,319.00	$16,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $922.78 / $1,925.64 / $2,904.52	Professional		$922.78	$1,925.64	$2,904.52