Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,047.00 / $4,601.00	Facility		$1,017.00	$4,047.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.68 / $806.12 / $806.12	Professional		$655.68	$806.12	$806.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $724.59 / $748.70 / $1,931.00	Professional		$724.59	$748.70	$1,931.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.08 / $796.32 / $1,791.98	Professional		$613.08	$796.32	$1,791.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $704.12 / $741.18 / $1,550.40	Professional		$704.12	$741.18	$1,550.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $10,819.00 / $28,056.00	Facility		$3,261.00	$10,819.00	$28,056.00
United Facility/Professional Professional Modifier Low / Median / High Price $512.60 / $696.37 / $1,884.71	Professional		$512.60	$696.37	$1,884.71