Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $70.79 / $173.78	Professional		$38.90	$70.79	$173.78
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $67.61 / $104.71 / $457.09	Professional	25	$67.61	$104.71	$457.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $42.66 / $61.66	Professional		$31.62	$42.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $67.61 / $123.03	Professional		$38.02	$67.61	$123.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $134.90	Professional		$75.86	$97.72	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $54.95 / $97.72	Professional		$34.67	$54.95	$97.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $63.10 / $95.50	Professional		$41.69	$63.10	$95.50