Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $128.82 / $169.82	Facility		$69.18	$128.82	$169.82
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $128.82 / $128.82 / $128.82	Facility	25	$128.82	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $70.79 / $165.96	Professional		$39.81	$70.79	$165.96
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $50.12 / $91.20 / $173.78	Professional	25	$50.12	$91.20	$173.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $42.66 / $154.88	Professional		$38.90	$42.66	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $70.79 / $151.36	Professional		$43.65	$70.79	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $154.88	Professional		$72.44	$85.11	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $60.26	Facility		$38.90	$38.90	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $70.79 / $128.82	Professional		$41.69	$70.79	$128.82