Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $302.00 / $398.11	Facility		$128.82	$302.00	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $371.54	Professional		$97.72	$162.18	$371.54
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $109.65 / $194.98 / $426.58	Professional	25	$109.65	$194.98	$426.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $323.59	Professional		$104.71	$114.82	$323.59
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 $114.82 / $162.18 / $331.13	Professional		$114.82	$162.18	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $323.59	Professional		$169.82	$199.53	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $128.82	Facility		$100.00	$100.00	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $302.00	Professional		$102.33	$158.49	$302.00