Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.13 / $638.69 / $638.69	Facility		$371.13	$638.69	$638.69
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $98.59 / $126.74 / $139.88	Facility	25	$98.59	$126.74	$139.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.32 / $215.32 / $631.54	Professional		$140.32	$215.32	$631.54
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $144.47 / $280.00 / $781.35	Professional	25	$144.47	$280.00	$781.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $136.99 / $170.46 / $233.53	Professional		$136.99	$170.46	$233.53
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 $155.54 / $230.99 / $379.80	Professional		$155.54	$230.99	$379.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.39 / $274.26 / $374.87	Professional		$205.39	$274.26	$374.87
United Facility/Professional Professional Modifier Low / Median / High Price $146.72 / $212.42 / $389.48	Professional		$146.72	$212.42	$389.48
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $80.00 / $88.00	Professional	25	$80.00	$80.00	$88.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.40 / $229.44 / $344.16	Professional		$186.40	$229.44	$344.16