Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $173.78 / $288.40	Facility		$81.28	$173.78	$288.40
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $85.11 / $85.11 / $93.33	Facility	25	$85.11	$85.11	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $109.65 / $275.42	Professional		$66.07	$109.65	$275.42
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $69.18 / $125.89 / $281.84	Professional	25	$69.18	$125.89	$281.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $125.89	Professional		$64.57	$77.62	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $144.54 / $181.97	Facility		$120.23	$144.54	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $181.97	Professional		$74.13	$109.65	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $128.82 / $186.21	Professional		$81.28	$128.82	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $69.18 / $104.71	Facility		$57.54	$69.18	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $165.96	Professional		$64.57	$100.00	$165.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $173.78	Professional		$85.11	$117.49	$173.78