Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,848.00 / $6,456.00	Facility		$1,017.00	$4,848.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.89 / $680.42 / $680.42	Professional		$412.89	$680.42	$680.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $274.17 / $274.17 / $4,186.00	Professional		$274.17	$274.17	$4,186.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $609.00 / $780.92 / $5,062.95	Professional		$609.00	$780.92	$5,062.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $568.73 / $1,132.58 / $1,301.23	Professional		$568.73	$1,132.58	$1,301.23
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $4,165.00 / $26,408.00	Facility		$3,261.00	$4,165.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $379.71 / $741.48 / $1,496.12	Professional		$379.71	$741.48	$1,496.12