Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.32 / $1,614.00 / $7,727.00	Facility		$210.32	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.32 / $210.32 / $210.32	Professional		$210.32	$210.32	$210.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $243.30 / $243.30 / $2,500.00	Professional		$243.30	$243.30	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.20 / $313.64 / $531.08	Professional		$190.20	$313.64	$531.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.77 / $465.67 / $465.67	Professional		$223.77	$465.67	$465.67
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.50 / $263.33 / $551.17	Professional		$165.50	$263.33	$551.17