Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.00 / $262.32 / $362.83	Facility		$122.00	$262.32	$362.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.73 / $121.62 / $214.95	Professional		$84.73	$121.62	$214.95
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $42.92 / $153.66 / $254.33	Professional	25	$42.92	$153.66	$254.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.18 / $125.97 / $303.43	Professional		$93.18	$125.97	$303.43
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 $112.96 / $160.51 / $369.58	Professional		$112.96	$160.51	$369.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.12 / $320.07 / $411.22	Professional		$187.12	$320.07	$411.22
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $184.20 / $349.61	Professional		$107.15	$184.20	$349.61