Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.30 / $124.39 / $392.26	Facility		$77.30	$124.39	$392.26
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $84.17 / $84.28 / $92.60	Facility	25	$84.17	$84.28	$92.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.92 / $110.52 / $290.99	Professional		$65.92	$110.52	$290.99
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $65.19 / $123.47 / $349.03	Professional	25	$65.19	$123.47	$349.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.08 / $78.84 / $119.22	Professional		$63.08	$78.84	$119.22
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 $71.55 / $115.99 / $198.49	Professional		$71.55	$115.99	$198.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.34 / $138.55 / $191.66	Professional		$100.34	$138.55	$191.66
United Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $117.04 / $213.95	Professional		$77.36	$117.04	$213.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.27 / $116.38 / $174.57	Professional		$84.27	$116.38	$174.57