Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.98 / $114.00 / $442.60	Professional		$89.98	$114.00	$442.60
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $105.70 / $260.35 / $1,364.74	Professional	25	$105.70	$260.35	$1,364.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.52 / $143.77 / $217.13	Professional		$123.52	$143.77	$217.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.15 / $143.15 / $143.15	Facility		$143.15	$143.15	$143.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $134.12 / $224.71	Professional		$92.76	$134.12	$224.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.62 / $153.19 / $204.13	Professional		$112.62	$153.19	$204.13
United Facility/Professional Professional Modifier Low / Median / High Price $93.73 / $128.75 / $228.87	Professional		$93.73	$128.75	$228.87
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $90.00 / $255.60	Professional	25	$80.00	$90.00	$255.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.68 / $140.10 / $175.11	Professional		$109.68	$140.10	$175.11