Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.55 / $74.31 / $120.00	Professional		$58.55	$74.31	$120.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $172.96 / $172.96 / $172.96	Professional	25	$172.96	$172.96	$172.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.74 / $95.74 / $104.36	Professional		$95.74	$95.74	$104.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $104.00 / $383.87	Professional		$62.00	$104.00	$383.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $80.90 / $201.89	Professional		$65.73	$80.90	$201.89
United Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $92.52 / $239.79	Professional		$60.00	$92.52	$239.79