Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.53 / $84.40 / $131.68	Professional		$72.53	$84.40	$131.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $88.98 / $105.89	Professional		$80.09	$88.98	$105.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.96 / $102.55 / $191.68	Professional		$54.96	$102.55	$191.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.09 / $91.54 / $124.83	Professional		$59.09	$91.54	$124.83
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 $34.59 / $88.46 / $177.99	Professional		$34.59	$88.46	$177.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $94.54 / $118.17	Professional		$74.08	$94.54	$118.17