Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,754.23 / $4,073.80	Facility		$575.44	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $616.60	Professional		$302.00	$426.58	$616.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $323.59 / $4,073.80	Professional		$281.84	$323.59	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $1,318.26	Professional		$288.40	$436.52	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $831.76	Professional		$489.78	$575.44	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $10,000.00 / $26,302.68	Facility		$1,819.70	$10,000.00	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $426.58 / $891.25	Professional		$251.19	$426.58	$891.25