Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.94 / $172.37 / $213.62	Professional		$138.94	$172.37	$213.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $166.74 / $185.27 / $231.59	Professional		$166.74	$185.27	$231.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.94 / $200.30 / $383.21	Professional		$89.94	$200.30	$383.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.72 / $175.82 / $239.76	Professional		$113.72	$175.82	$239.76
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $20.60 / $30.21 / $41.19	Professional	26	$20.60	$30.21	$41.19
United Facility/Professional Professional Modifier Low / Median / High Price $91.22 / $162.18 / $347.49	Professional		$91.22	$162.18	$347.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.89 / $181.22 / $226.53	Professional		$110.89	$181.22	$226.53