Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.71 / $111.47 / $173.17	Professional		$90.71	$111.47	$173.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $119.22 / $149.03	Professional		$107.30	$119.22	$149.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.75 / $132.69 / $249.15	Professional		$85.75	$132.69	$249.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.49 / $125.39 / $170.99	Professional		$85.49	$125.39	$170.99
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $37.84 / $55.50 / $75.68	Professional	26	$37.84	$55.50	$75.68
United Facility/Professional Professional Modifier Low / Median / High Price $68.68 / $115.18 / $234.59	Professional		$68.68	$115.18	$234.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $96.98 / $130.31 / $162.88	Professional		$96.98	$130.31	$162.88