Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.29 / $148.82 / $214.26	Professional		$130.29	$148.82	$214.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $129.66 / $144.07 / $180.09	Professional		$129.66	$144.07	$180.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.66 / $213.15 / $388.41	Professional		$132.66	$213.15	$388.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.46 / $166.41 / $226.92	Professional		$113.46	$166.41	$226.92
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $64.18 / $94.13 / $128.36	Professional	26	$64.18	$94.13	$128.36
United Facility/Professional Professional Modifier Low / Median / High Price $122.99 / $169.11 / $292.08	Professional		$122.99	$169.11	$292.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.77 / $173.48 / $216.86	Professional		$125.77	$173.48	$216.86