Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $175.49 / $279.58	Facility		$105.00	$175.49	$279.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.84 / $160.60 / $252.04	Professional		$123.84	$160.60	$252.04
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $105.00 / $354.00 / $354.00	Professional	25	$105.00	$354.00	$354.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $168.46 / $182.74 / $222.94	Professional		$168.46	$182.74	$222.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.85 / $182.54 / $323.39	Professional		$107.85	$182.54	$323.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.39 / $176.81 / $260.64	Professional		$127.39	$176.81	$260.64
United Facility/Professional Professional Modifier Low / Median / High Price $104.57 / $167.90 / $297.17	Professional		$104.57	$167.90	$297.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.19 / $225.38 / $285.27	Professional		$154.19	$225.38	$285.27