Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.82 / $260.52 / $776.96	Professional		$222.82	$260.52	$776.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $231.64 / $277.27 / $342.67	Professional		$231.64	$277.27	$342.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.13 / $295.82 / $744.96	Professional		$202.13	$295.82	$744.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.05 / $286.02 / $534.51	Professional		$215.05	$286.02	$534.51
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $76.47 / $101.71 / $164.15	Professional	26	$76.47	$101.71	$164.15
United Facility/Professional Professional Modifier Low / Median / High Price $194.45 / $277.31 / $553.54	Professional		$194.45	$277.31	$553.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $188.20 / $247.31 / $305.45	Professional		$188.20	$247.31	$305.45