Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $223.87	Professional		$109.65	$141.25	$223.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $91.20 / $151.36	Professional		$57.54	$91.20	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $302.00	Professional		$112.20	$162.18	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $213.80	Professional		$102.33	$147.91	$213.80
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $67.61 / $95.50	Professional	26	$47.86	$67.61	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $144.54 / $288.40	Professional		$85.11	$144.54	$288.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $213.80	Professional		$107.15	$158.49	$213.80