Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.91 / $114.34 / $149.11	Facility		$60.91	$114.34	$149.11
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $122.00 / $128.00 / $148.25	Facility	25	$122.00	$128.00	$148.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $41.69 / $65.40	Professional		$24.52	$41.69	$65.40
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $32.90 / $62.45 / $70.94	Professional	25	$32.90	$62.45	$70.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $30.78 / $99.58	Professional		$21.57	$30.78	$99.58
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 $28.16 / $50.09 / $131.74	Professional		$28.16	$50.09	$131.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.33 / $78.20 / $130.62	Professional		$59.33	$78.20	$130.62
United Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $45.50 / $105.32	Professional		$31.70	$45.50	$105.32