Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.52 / $2,080.00 / $4,100.00	Facility		$267.52	$2,080.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.52 / $267.52 / $267.52	Professional		$147.52	$267.52	$267.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $108.18 / $146.19 / $2,116.00	Professional		$108.18	$146.19	$2,116.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.50 / $232.55 / $505.07	Professional		$131.50	$232.55	$505.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $230.13 / $513.97 / $513.97	Professional		$230.13	$513.97	$513.97
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.26 / $320.89 / $624.79	Professional		$188.26	$320.89	$624.79