Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,100.00 / $6,456.00	Facility		$1,017.00	$4,100.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $839.54 / $839.54 / $839.54	Professional		$839.54	$839.54	$839.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $689.74 / $827.71 / $5,795.00	Professional		$689.74	$827.71	$5,795.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.38 / $853.72 / $1,719.67	Professional		$549.38	$853.72	$1,719.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,501.49 / $1,501.49 / $1,501.49	Professional		$1,501.49	$1,501.49	$1,501.49
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $5,185.00 / $19,046.00	Facility		$4,062.00	$5,185.00	$19,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $621.99 / $893.93 / $2,024.38	Professional		$621.99	$893.93	$2,024.38