Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.52 / $128.00 / $171.79	Facility		$82.52	$128.00	$171.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.22 / $60.34 / $93.50	Professional		$37.22	$60.34	$93.50
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $54.82 / $79.17 / $128.99	Professional	25	$54.82	$79.17	$128.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.23 / $41.23 / $165.82	Professional		$41.23	$41.23	$165.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.60 / $185.60 / $185.60	Facility		$185.60	$185.60	$185.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.26 / $77.53 / $180.04	Professional		$42.26	$77.53	$180.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $105.09 / $166.40	Professional		$75.20	$105.09	$166.40
United Facility/Professional Professional Modifier Low / Median / High Price $53.90 / $80.15 / $176.84	Professional		$53.90	$80.15	$176.84