Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.11 / $194.18 / $260.42	Professional		$169.11	$194.18	$260.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $221.72 / $246.36 / $293.17	Professional		$221.72	$246.36	$293.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.15 / $277.38 / $527.33	Professional		$157.15	$277.38	$527.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.13 / $206.99 / $282.26	Professional		$141.13	$206.99	$282.26
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $39.60 / $58.08 / $79.20	Professional	26	$39.60	$58.08	$79.20
United Facility/Professional Professional Modifier Low / Median / High Price $119.09 / $200.10 / $408.21	Professional		$119.09	$200.10	$408.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $170.74 / $214.30 / $267.87	Professional		$170.74	$214.30	$267.87