Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.04 / $1,793.00 / $4,100.00	Facility		$203.04	$1,793.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.38 / $190.71 / $203.04	Professional		$130.38	$190.71	$203.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $167.96 / $232.44 / $3,430.00	Professional		$167.96	$232.44	$3,430.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.69 / $185.22 / $417.98	Professional		$139.69	$185.22	$417.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $341.41 / $362.37	Professional		$174.00	$341.41	$362.37
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 $117.79 / $148.05 / $444.14	Professional		$117.79	$148.05	$444.14