Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.97 / $334.06 / $403.53	Facility		$38.97	$334.06	$403.53
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $172.37 / $283.00 / $344.74	Facility	25	$172.37	$283.00	$344.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $45.00 / $100.01	Professional		$30.10	$45.00	$100.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $45.01 / $63.46	Professional		$44.94	$45.01	$63.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.64 / $50.41 / $85.97	Professional		$33.64	$50.41	$85.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.86 / $55.08 / $70.50	Professional		$41.86	$55.08	$70.50
United Facility/Professional Professional Modifier Low / Median / High Price $31.10 / $44.97 / $91.52	Professional		$31.10	$44.97	$91.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $49.16 / $64.13	Professional		$42.75	$49.16	$64.13