Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $239.88 / $371.54	Facility		$234.42	$239.88	$371.54
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $1,000.00 / $1,000.00 / $1,096.48	Facility	25	$1,000.00	$1,000.00	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $724.44	Professional		$169.82	$245.47	$724.44
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $181.97 / $389.05 / $933.25	Professional	25	$181.97	$389.05	$933.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $426.58	Professional		$234.42	$302.00	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $478.63	Professional		$194.98	$275.42	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $346.74 / $478.63	Professional		$245.47	$346.74	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $218.78	Facility		$169.82	$169.82	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $457.09	Professional		$186.21	$269.15	$457.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $467.74	Professional		$218.78	$346.74	$467.74