Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.74 / $150.75 / $192.49	Professional		$122.74	$150.75	$192.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $147.88 / $164.31 / $205.39	Professional		$147.88	$164.31	$205.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $182.57 / $347.98	Professional		$87.00	$182.57	$347.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.62 / $160.78 / $219.24	Professional		$109.62	$160.78	$219.24
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.75 / $28.96 / $39.56	Professional	26	$19.75	$28.96	$39.56
United Facility/Professional Professional Modifier Low / Median / High Price $89.88 / $147.55 / $306.67	Professional		$89.88	$147.55	$306.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.47 / $165.86 / $207.33	Professional		$107.47	$165.86	$207.33