Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.76 / $384.00 / $925.40	Facility		$89.76	$384.00	$925.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.74 / $78.33 / $326.00	Professional		$55.74	$78.33	$326.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $119.16 / $119.16 / $119.16	Professional	25	$119.16	$119.16	$119.16
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $57.12 / $57.12 / $57.12	Professional	CQ	$57.12	$57.12	$57.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.44 / $78.27 / $78.27	Professional		$70.44	$78.27	$78.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $180.25 / $180.25	Facility		$72.00	$180.25	$180.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.97 / $84.36 / $132.53	Professional		$61.97	$84.36	$132.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $110.07 / $154.59	Professional		$90.69	$110.07	$154.59
United Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $92.09 / $112.34	Professional		$64.81	$92.09	$112.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $82.45 / $148.97	Professional		$69.20	$82.45	$148.97