Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.58 / $224.78 / $602.41	Professional		$94.58	$224.78	$602.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $236.80 / $279.91 / $319.10	Professional		$236.80	$279.91	$319.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.05 / $149.19 / $371.57	Professional		$3.05	$149.19	$371.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $278.39 / $350.22 / $507.52	Professional		$278.39	$350.22	$507.52
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $60.24 / $75.30 / $99.90	Professional	26	$60.24	$75.30	$99.90
United Facility/Professional Professional Modifier Low / Median / High Price $105.50 / $216.88 / $352.07	Professional		$105.50	$216.88	$352.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $231.08 / $320.16 / $396.00	Professional		$231.08	$320.16	$396.00