Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $104.16 / $154.41	Professional		$77.31	$104.16	$154.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $101.27 / $112.52 / $140.65	Professional		$101.27	$112.52	$140.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.02 / $120.10 / $227.65	Professional		$81.02	$120.10	$227.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.51 / $118.07 / $161.01	Professional		$80.51	$118.07	$161.01
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $31.28 / $45.88 / $62.57	Professional	26	$31.28	$45.88	$62.57
United Facility/Professional Professional Modifier Low / Median / High Price $59.91 / $103.70 / $195.30	Professional		$59.91	$103.70	$195.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.78 / $122.45 / $153.06	Professional		$76.78	$122.45	$153.06