Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $112.20 / $281.84	Professional		$57.54	$112.20	$281.84
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $117.49 / $117.49 / $117.49	Professional	25	$117.49	$117.49	$117.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $138.04 / $177.83	Professional		$131.83	$138.04	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $81.28 / $151.36	Professional		$72.44	$81.28	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $91.20 / $165.96	Professional		$57.54	$91.20	$165.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $72.44 / $112.20	Professional		$57.54	$72.44	$112.20