Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $2,754.23 / $4,073.80	Facility		$275.42	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $199.53 / $302.00	Professional		$102.33	$199.53	$302.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $3,235.94	Professional		$97.72	$117.49	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $199.53 / $588.84	Professional		$104.71	$199.53	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $524.81	Professional		$239.88	$281.84	$524.81
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 $93.33 / $186.21 / $389.05	Professional		$93.33	$186.21	$389.05