Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.17 / $82.38 / $109.01	Professional		$66.17	$82.38	$109.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $83.69 / $101.26	Professional		$75.31	$83.69	$101.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.29 / $110.97 / $222.27	Professional		$69.29	$110.97	$222.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.16 / $91.17 / $124.32	Professional		$62.16	$91.17	$124.32
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.40 / $34.32 / $46.80	Professional	26	$23.40	$34.32	$46.80
United Facility/Professional Professional Modifier Low / Median / High Price $54.76 / $83.96 / $159.49	Professional		$54.76	$83.96	$159.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.87 / $94.49 / $118.11	Professional		$60.87	$94.49	$118.11