Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $436.52	Professional		$169.82	$204.17	$436.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $162.18 / $213.80	Professional		$38.90	$162.18	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $234.42 / $407.38	Professional		$151.36	$234.42	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $338.84	Professional		$169.82	$239.88	$338.84
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $169.82 / $239.88	Professional	26	$120.23	$169.82	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $208.93 / $398.11	Professional		$123.03	$208.93	$398.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $263.03 / $323.59	Professional		$154.88	$263.03	$323.59