Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.87 / $121.00	Professional		$50.00	$65.87	$121.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $28.64 / $78.31 / $209.14	Professional	25	$28.64	$78.31	$209.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.74 / $63.74 / $249.49	Professional		$63.74	$63.74	$249.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.57 / $102.10 / $317.23	Professional		$57.57	$102.10	$317.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.07 / $151.77 / $291.04	Professional		$131.07	$151.77	$291.04
United Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $103.40 / $308.41	Professional		$75.84	$103.40	$308.41