Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.01 / $66.84 / $299.60	Facility		$33.01	$66.84	$299.60
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $86.50 / $98.70 / $288.95	Facility	25	$86.50	$98.70	$288.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.72 / $48.65 / $106.61	Professional		$26.72	$48.65	$106.61
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $32.20 / $60.37 / $148.00	Professional	25	$32.20	$60.37	$148.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $30.78 / $51.41	Professional		$21.57	$30.78	$51.41
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 Facility Modifier 62 Low / Median / High Price $29.37 / $29.37 / $29.37	Facility	62	$29.37	$29.37	$29.37
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $4.70 / $4.70 / $4.70	Facility	AS	$4.70	$4.70	$4.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $50.05 / $89.57	Professional		$27.97	$50.05	$89.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.84 / $67.45 / $96.68	Professional		$46.84	$67.45	$96.68
United Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $48.93 / $88.16	Professional		$32.53	$48.93	$88.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $59.11 / $88.67	Professional		$36.18	$59.11	$88.67