Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.00 / $189.89 / $264.38	Facility		$122.00	$189.89	$264.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.86 / $89.90 / $146.15	Professional		$58.86	$89.90	$146.15
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $21.85 / $101.73 / $180.56	Professional	25	$21.85	$101.73	$180.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.08 / $71.59 / $245.88	Professional		$63.08	$71.59	$245.88
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 $70.34 / $109.47 / $278.20	Professional		$70.34	$109.47	$278.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.69 / $181.93 / $255.33	Professional		$116.69	$181.93	$255.33
United Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $130.47 / $247.96	Professional		$80.48	$130.47	$247.96