Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $363.08 / $645.65	Facility		$131.83	$363.08	$645.65
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $125.89 / $131.83 / $141.25	Facility	25	$125.89	$131.83	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $223.87 / $549.54	Professional		$141.25	$223.87	$549.54
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $169.82 / $323.59 / $707.95	Professional	25	$169.82	$323.59	$707.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $169.82 / $251.19	Professional		$144.54	$169.82	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $144.54 / $186.21	Facility		$120.23	$144.54	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $363.08	Professional		$158.49	$213.80	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $363.08	Professional		$173.78	$263.03	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $162.18 / $199.53	Facility		$114.82	$162.18	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $331.13	Professional		$138.04	$199.53	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $229.09 / $346.74	Professional		$186.21	$229.09	$346.74