Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $281.84 / $407.38	Facility		$38.90	$281.84	$407.38
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $173.78 / $275.42 / $380.19	Facility	25	$173.78	$275.42	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $51.29 / $95.50	Professional		$30.90	$51.29	$95.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $47.86 / $63.10	Professional		$41.69	$47.86	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $44.67 / $83.18	Professional		$31.62	$44.67	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $48.98 / $72.44	Professional		$39.81	$48.98	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $79.43	Professional		$30.90	$44.67	$79.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $63.10	Professional		$42.66	$52.48	$63.10