Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.35 / $250.54 / $570.14	Professional		$181.35	$250.54	$570.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $220.13 / $245.89 / $277.86	Professional		$220.13	$245.89	$277.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.17 / $290.33 / $523.29	Professional		$188.17	$290.33	$523.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.46 / $282.89 / $368.96	Professional		$232.46	$282.89	$368.96
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $47.49 / $61.26 / $94.48	Professional	26	$47.49	$61.26	$94.48
United Facility/Professional Professional Modifier Low / Median / High Price $172.12 / $233.60 / $408.68	Professional		$172.12	$233.60	$408.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.90 / $269.43 / $348.69	Professional		$165.90	$269.43	$348.69