Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.00 / $164.82 / $274.89	Facility		$122.00	$164.82	$274.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.09 / $90.04 / $150.19	Professional		$47.09	$90.04	$150.19
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $24.77 / $81.99 / $163.98	Professional	25	$24.77	$81.99	$163.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $94.50 / $94.50 / $94.50	Professional	50	$94.50	$94.50	$94.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $84.74 / $210.83	Professional		$65.77	$84.74	$210.83
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 $77.19 / $113.30 / $274.39	Professional		$77.19	$113.30	$274.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.68 / $215.32 / $292.75	Professional		$133.68	$215.32	$292.75
United Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $110.70 / $242.70	Professional		$70.84	$110.70	$242.70