Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.08 / $133.16 / $177.57	Facility		$107.08	$133.16	$177.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $62.37 / $102.80	Professional		$39.04	$62.37	$102.80
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $20.48 / $82.10 / $163.98	Professional	25	$20.48	$82.10	$163.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.11 / $57.48 / $135.01	Professional		$43.11	$57.48	$135.01
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 $52.40 / $81.00 / $221.84	Professional		$52.40	$81.00	$221.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $146.05 / $208.15	Professional		$95.27	$146.05	$208.15
United Facility/Professional Professional Modifier Low / Median / High Price $51.60 / $80.15 / $171.85	Professional		$51.60	$80.15	$171.85