Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.71 / $97.53 / $135.54	Professional		$63.71	$97.53	$135.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.38 / $101.92 / $121.28	Professional		$87.38	$101.92	$121.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $106.11 / $206.20	Professional		$56.32	$106.11	$206.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.11 / $103.82 / $141.57	Professional		$67.11	$103.82	$141.57
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $14.76 / $21.65 / $29.52	Professional	26	$14.76	$21.65	$29.52
United Facility/Professional Professional Modifier Low / Median / High Price $36.20 / $91.50 / $188.50	Professional		$36.20	$91.50	$188.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.23 / $107.16 / $133.94	Professional		$73.23	$107.16	$133.94