Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.44 / $3,999.00 / $6,456.00	Facility		$374.44	$3,999.00	$6,456.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,085.00 / $6,085.00 / $6,085.00	Facility	50	$6,085.00	$6,085.00	$6,085.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.29 / $168.29 / $168.29	Professional		$168.29	$168.29	$168.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $167.23 / $3,430.00	Professional		$151.00	$167.23	$3,430.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.81 / $197.91 / $400.26	Professional		$153.81	$197.91	$400.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.01 / $353.55 / $353.55	Professional		$169.01	$353.55	$353.55
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $6,580.00 / $26,408.00	Facility		$808.00	$6,580.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $305.04 / $412.21	Professional		$139.97	$305.04	$412.21