Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $194.98 / $302.00	Professional		$169.82	$194.98	$302.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $186.21 / $234.42	Professional		$83.18	$186.21	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $436.52	Professional		$162.18	$257.04	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $316.23	Professional		$158.49	$229.09	$316.23
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $58.88 / $83.18	Professional	26	$41.69	$58.88	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $426.58	Professional		$125.89	$213.80	$426.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $316.23	Professional		$169.82	$239.88	$316.23