Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $416.87 / $575.44	Facility		$128.82	$416.87	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $478.63	Professional		$138.04	$208.93	$478.63
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $173.78 / $309.03 / $562.34	Professional	25	$173.78	$309.03	$562.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $154.88 / $407.38	Professional		$144.54	$154.88	$407.38
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 $147.91 / $208.93 / $446.68	Professional		$147.91	$208.93	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $263.03 / $407.38	Professional		$223.87	$263.03	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $162.18	Facility		$128.82	$128.82	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $389.05	Professional		$128.82	$204.17	$389.05