Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.34 / $929.37 / $9,927.11	Facility		$112.34	$929.37	$9,927.11
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $698.40 / $950.89 / $996.32	Facility	25	$698.40	$950.89	$996.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.19 / $126.31 / $375.00	Professional		$87.19	$126.31	$375.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $95.58 / $250.00 / $491.29	Professional	25	$95.58	$250.00	$491.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.80 / $131.00 / $218.70	Professional		$128.80	$131.00	$218.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $145.13 / $245.54	Professional		$99.37	$145.13	$245.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.29 / $158.28 / $202.59	Professional		$120.29	$158.28	$202.59
United Facility/Professional Professional Modifier Low / Median / High Price $90.39 / $128.44 / $228.74	Professional		$90.39	$128.44	$228.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.67 / $142.22 / $185.51	Professional		$123.67	$142.22	$185.51