Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $416.87 / $630.96	Facility		$67.61	$416.87	$630.96
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $416.87 / $602.56 / $831.76	Facility	25	$416.87	$602.56	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $165.96	Professional		$50.12	$67.61	$165.96
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $61.66 / $131.83 / $229.09	Professional	25	$61.66	$131.83	$229.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $83.18 / $109.65	Professional		$70.79	$83.18	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $138.04	Professional		$56.23	$75.86	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $83.18 / $120.23	Professional		$69.18	$83.18	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $123.03	Professional		$50.12	$70.79	$123.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $109.65	Professional		$72.44	$89.13	$109.65