Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,078.16 / $4,004.00 / $4,601.00	Facility		$1,078.16	$4,004.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,078.16 / $1,078.16 / $1,078.16	Professional		$1,078.16	$1,078.16	$1,078.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $855.00 / $1,120.55 / $4,930.00	Professional		$855.00	$1,120.55	$4,930.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,050.43 / $1,341.89 / $3,428.94	Professional		$1,050.43	$1,341.89	$3,428.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,039.49 / $2,274.29 / $2,274.29	Professional		$1,039.49	$2,274.29	$2,274.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $944.33 / $1,950.01 / $2,635.13	Professional		$944.33	$1,950.01	$2,635.13