Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $117.49	Professional		$67.61	$83.18	$117.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $75.86 / $93.33	Professional		$25.70	$75.86	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $181.97	Professional		$70.79	$100.00	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $134.90	Professional		$67.61	$97.72	$134.90
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $34.67 / $50.12	Professional	26	$24.55	$34.67	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $87.10 / $173.78	Professional		$58.88	$87.10	$173.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $104.71 / $134.90	Professional		$60.26	$104.71	$134.90