Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $414.54 / $569.24	Facility		$128.00	$414.54	$569.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.47 / $179.56 / $303.22	Professional		$128.47	$179.56	$303.22
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $41.94 / $249.67 / $340.40	Professional	25	$41.94	$249.67	$340.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $136.99 / $158.62 / $437.63	Professional		$136.99	$158.62	$437.63
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 $155.44 / $218.10 / $527.03	Professional		$155.44	$218.10	$527.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.55 / $403.02 / $501.43	Professional		$229.55	$403.02	$501.43
United Facility/Professional Professional Modifier Low / Median / High Price $148.79 / $243.03 / $474.34	Professional		$148.79	$243.03	$474.34
United Facility/Professional Professional Modifier 25 Low / Median / High Price $88.00 / $88.00 / $88.00	Professional	25	$88.00	$88.00	$88.00