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 $119.61 / $146.13 / $146.13	Professional		$119.61	$146.13	$146.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $204.61 / $1,228.00	Professional		$204.61	$204.61	$1,228.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.39 / $161.09 / $382.52	Professional		$118.39	$161.09	$382.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.88 / $134.61 / $276.89	Professional		$127.88	$134.61	$276.89
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 $97.69 / $138.61 / $342.18	Professional		$97.69	$138.61	$342.18