Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.54 / $1,614.00 / $7,727.00	Facility		$632.54	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.54 / $632.54 / $632.54	Professional		$632.54	$632.54	$632.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $807.00 / $879.63 / $7,812.00	Professional		$807.00	$879.63	$7,812.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $706.66 / $1,022.20 / $1,955.18	Professional		$706.66	$1,022.20	$1,955.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $789.79 / $1,732.59 / $1,732.59	Professional		$789.79	$1,732.59	$1,732.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $670.89 / $1,077.11 / $2,010.92	Professional		$670.89	$1,077.11	$2,010.92