Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.71 / $84.92 / $335.46	Facility		$46.71	$84.92	$335.46
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $64.00 / $69.00 / $88.20	Facility	25	$64.00	$69.00	$88.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.35 / $70.73 / $169.08	Professional		$39.35	$70.73	$169.08
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $51.73 / $90.62 / $214.39	Professional	25	$51.73	$90.62	$214.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.23 / $51.54 / $80.70	Professional		$41.23	$51.54	$80.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $145.00 / $245.35	Facility		$110.00	$145.00	$245.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.39 / $75.06 / $130.07	Professional		$44.39	$75.06	$130.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.34 / $87.09 / $125.65	Professional		$63.34	$87.09	$125.65
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $78.95 / $134.15	Professional		$54.95	$78.95	$134.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.59 / $75.41 / $113.12	Professional		$48.59	$75.41	$113.12