Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,162.00 / $4,100.00	Facility		$1,017.00	$3,162.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.22 / $557.26 / $557.26	Professional		$422.22	$557.26	$557.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $516.95 / $1,030.00	Professional		$275.00	$516.95	$1,030.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.57 / $563.79 / $1,237.30	Professional		$408.57	$563.79	$1,237.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $486.15 / $511.74 / $1,069.69	Professional		$486.15	$511.74	$1,069.69
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 $349.67 / $461.99 / $1,300.33	Professional		$349.67	$461.99	$1,300.33