Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.84 / $157.35 / $427.08	Professional		$137.84	$157.35	$427.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.97 / $164.28 / $185.64	Professional		$125.97	$164.28	$185.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.93 / $195.91 / $405.38	Professional		$133.93	$195.91	$405.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.19 / $197.50 / $295.41	Professional		$157.19	$197.50	$295.41
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $35.01 / $44.46 / $70.08	Professional	26	$35.01	$44.46	$70.08
United Facility/Professional Professional Modifier Low / Median / High Price $112.55 / $177.13 / $335.69	Professional		$112.55	$177.13	$335.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.85 / $180.78 / $223.58	Professional		$123.85	$180.78	$223.58