Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $23.99 / $70.79	Facility		$18.20	$23.99	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $38.02 / $66.07	Professional		$18.20	$38.02	$66.07
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $64.57 / $64.57 / $64.57	Professional	25	$64.57	$64.57	$64.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $37.15	Professional		$27.54	$27.54	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.90 / $64.57	Professional		$20.89	$30.90	$64.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $27.54 / $36.31	Professional		$20.42	$27.54	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $26.92 / $45.71	Facility		$19.05	$26.92	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $36.31 / $52.48	Professional		$21.88	$36.31	$52.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $36.31 / $45.71	Professional		$23.99	$36.31	$45.71