Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.84 / $590.04 / $625.26	Facility		$78.84	$590.04	$625.26
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $420.00 / $608.24 / $636.99	Facility	25	$420.00	$608.24	$636.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $67.68 / $163.08	Professional		$50.88	$67.68	$163.08
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $70.06 / $148.44 / $311.22	Professional	25	$70.06	$148.44	$311.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $76.51 / $114.12	Professional		$72.98	$76.51	$114.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.45 / $81.33 / $143.51	Professional		$56.45	$81.33	$143.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.53 / $95.45 / $118.78	Professional		$70.53	$95.45	$118.78
United Facility/Professional Professional Modifier Low / Median / High Price $49.32 / $70.16 / $124.28	Professional		$49.32	$70.16	$124.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $83.61 / $109.05	Professional		$72.70	$83.61	$109.05