Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.34 / $138.47 / $192.28	Professional		$108.34	$138.47	$192.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.69 / $149.66 / $187.09	Professional		$134.69	$149.66	$187.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $156.00 / $294.89	Professional		$94.50	$156.00	$294.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.69 / $141.81 / $193.38	Professional		$96.69	$141.81	$193.38
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $45.90 / $67.31 / $91.80	Professional	26	$45.90	$67.31	$91.80
United Facility/Professional Professional Modifier Low / Median / High Price $81.68 / $135.25 / $272.97	Professional		$81.68	$135.25	$272.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.65 / $147.62 / $184.53	Professional		$106.65	$147.62	$184.53