Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.20 / $55.20 / $105.60	Facility		$55.20	$55.20	$105.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $74.31 / $185.27	Professional		$42.00	$74.31	$185.27
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $162.00 / $162.00 / $162.00	Professional	25	$162.00	$162.00	$162.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.99 / $36.90 / $47.30	Professional		$34.99	$36.90	$47.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.09 / $65.81 / $133.75	Professional		$37.09	$65.81	$133.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $98.92 / $139.38	Professional		$81.72	$98.92	$139.38
United Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $68.87 / $107.88	Professional		$52.49	$68.87	$107.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.81 / $63.71 / $90.59	Professional		$47.81	$63.71	$90.59