Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $133.31 / $347.24	Professional		$68.00	$133.31	$347.24
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $133.31 / $167.22 / $687.14	Professional	25	$133.31	$167.22	$687.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.77 / $74.98 / $161.79	Professional		$72.77	$74.98	$161.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $119.93 / $235.43	Professional		$71.23	$119.93	$235.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.46 / $173.66 / $243.66	Professional		$143.46	$173.66	$243.66
United Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $118.61 / $185.71	Professional		$79.98	$118.61	$185.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $69.00 / $159.47	Professional		$48.00	$69.00	$159.47