Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $67.81 / $79.78	Facility		$59.84	$67.81	$79.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.63 / $64.38 / $99.91	Professional		$48.63	$64.38	$99.91
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $81.11 / $81.11 / $110.00	Professional	25	$81.11	$81.11	$110.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.14 / $75.14 / $91.67	Professional		$75.14	$75.14	$91.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $74.77 / $126.69	Professional		$38.00	$74.77	$126.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.29 / $69.52 / $100.85	Professional		$49.29	$69.52	$100.85
United Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $69.40 / $134.28	Professional		$33.75	$69.40	$134.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.89 / $87.20 / $110.48	Professional		$68.89	$87.20	$110.48