Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.96 / $97.91 / $209.84	Facility		$9.96	$97.91	$209.84
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $65.31 / $99.66 / $211.81	Facility	25	$65.31	$99.66	$211.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $19.48 / $47.54	Professional		$7.04	$19.48	$47.54
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $18.98 / $24.81 / $78.91	Professional	25	$18.98	$24.81	$78.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $9.69 / $22.10	Professional		$7.86	$9.69	$22.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $145.00 / $245.35	Facility		$110.00	$145.00	$245.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $20.19 / $38.57	Professional		$8.36	$20.19	$38.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $28.82 / $40.08	Professional		$14.79	$28.82	$40.08
United Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $49.00 / $49.00	Facility		$49.00	$49.00	$49.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $23.69 / $41.00	Professional		$16.45	$23.69	$41.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $24.43 / $36.65	Professional		$8.91	$24.43	$36.65