Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.85 / $231.96 / $329.33	Professional		$179.85	$231.96	$329.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $194.06 / $249.86 / $297.33	Professional		$194.06	$249.86	$297.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.94 / $263.91 / $498.95	Professional		$113.94	$263.91	$498.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.35 / $251.32 / $342.71	Professional		$171.35	$251.32	$342.71
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $78.20 / $114.69 / $156.38	Professional	26	$78.20	$114.69	$156.38
United Facility/Professional Professional Modifier Low / Median / High Price $136.41 / $239.51 / $482.79	Professional		$136.41	$239.51	$482.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.75 / $261.39 / $326.75	Professional		$194.75	$261.39	$326.75