Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $841.94 / $2,761.00 / $4,100.00	Facility		$841.94	$2,761.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.40 / $253.23 / $841.94	Professional		$111.40	$253.23	$841.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.19 / $109.19 / $321.00	Professional		$109.19	$109.19	$321.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.89 / $469.71 / $2,157.73	Professional		$100.89	$469.71	$2,157.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.24 / $734.33 / $1,595.77	Professional		$226.24	$734.33	$1,595.77
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $5,727.68 / $26,408.00	Facility		$808.00	$5,727.68	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $515.55 / $765.15 / $1,859.57	Professional		$515.55	$765.15	$1,859.57