Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.88 / $515.66 / $970.35	Facility		$115.88	$515.66	$970.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.65 / $128.24 / $212.26	Professional		$96.65	$128.24	$212.26
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $124.37 / $124.37 / $124.37	Professional	25	$124.37	$124.37	$124.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $137.01 / $137.01 / $171.26	Professional		$137.01	$137.01	$171.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $130.27 / $228.29	Professional		$88.00	$130.27	$228.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.13 / $151.19 / $212.96	Professional		$104.13	$151.19	$212.96
United Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $138.94 / $260.12	Professional		$95.00	$138.94	$260.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $132.66 / $184.14 / $234.27	Professional		$132.66	$184.14	$234.27