Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.09 / $253.09 / $507.28	Facility		$140.09	$253.09	$507.28
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $99.29 / $99.29 / $105.35	Facility	25	$99.29	$99.29	$105.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.81 / $172.06 / $442.61	Professional		$108.81	$172.06	$442.61
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $124.90 / $194.95 / $605.64	Professional	25	$124.90	$194.95	$605.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.37 / $133.13 / $186.67	Professional		$107.37	$133.13	$186.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $145.00 / $245.35	Facility		$120.00	$145.00	$245.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $182.06 / $300.05	Professional		$115.43	$182.06	$300.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.69 / $207.61 / $284.39	Professional		$155.69	$207.61	$284.39
United Facility/Professional Facility Modifier Low / Median / High Price $81.31 / $99.72 / $128.78	Facility		$81.31	$99.72	$128.78
United Facility/Professional Professional Modifier Low / Median / High Price $118.24 / $174.23 / $309.04	Professional		$118.24	$174.23	$309.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.96 / $174.01 / $261.02	Professional		$136.96	$174.01	$261.02