Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $224.38 / $1,330.01	Facility		$80.00	$224.38	$1,330.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.59 / $146.12 / $224.72	Professional		$109.59	$146.12	$224.72
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $146.00 / $146.00 / $146.00	Professional	25	$146.00	$146.00	$146.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $146.43 / $158.44 / $193.30	Professional		$146.43	$158.44	$193.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $152.44 / $246.70	Professional		$107.00	$152.44	$246.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.76 / $154.79 / $230.72	Professional		$112.76	$154.79	$230.72
United Facility/Professional Professional Modifier Low / Median / High Price $108.50 / $153.03 / $241.02	Professional		$108.50	$153.03	$241.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $146.63 / $199.49 / $253.41	Professional		$146.63	$199.49	$253.41