Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.34 / $93.34 / $158.41	Facility		$93.34	$93.34	$158.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $111.12 / $283.89	Professional		$50.00	$111.12	$283.89
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $96.86 / $143.22 / $593.27	Professional	25	$96.86	$143.22	$593.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.74 / $63.74 / $149.94	Professional		$63.74	$63.74	$149.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.02 / $97.80 / $199.23	Professional		$59.02	$97.80	$199.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.65 / $144.87 / $206.96	Professional		$121.65	$144.87	$206.96
United Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $103.40 / $171.41	Professional		$75.84	$103.40	$171.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $69.00 / $134.94	Professional		$48.00	$69.00	$134.94