Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.24 / $249.38 / $322.33	Facility		$233.24	$249.38	$322.33
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $992.05 / $992.05 / $1,083.96	Facility	25	$992.05	$992.05	$1,083.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.28 / $240.76 / $721.63	Professional		$181.28	$240.76	$721.63
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $189.83 / $390.38 / $934.03	Professional	25	$189.83	$390.38	$934.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $246.24 / $324.00 / $448.42	Professional		$246.24	$324.00	$448.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.33 / $286.33 / $286.33	Facility		$286.33	$286.33	$286.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.91 / $286.12 / $504.49	Professional		$194.91	$286.12	$504.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.08 / $337.34 / $472.08	Professional		$252.08	$337.34	$472.08
United Facility/Professional Professional Modifier Low / Median / High Price $208.36 / $285.29 / $523.10	Professional		$208.36	$285.29	$523.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $217.28 / $323.29 / $402.93	Professional		$217.28	$323.29	$402.93