Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.81 / $128.99 / $151.75	Facility		$113.81	$128.99	$151.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.05 / $121.40 / $295.76	Professional		$91.05	$121.40	$295.76
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $128.72 / $128.72 / $128.72	Professional	25	$128.72	$128.72	$128.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $101.81 / $101.81 / $101.81	Professional		$101.81	$101.81	$101.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.91 / $234.95 / $342.88	Professional		$113.91	$234.95	$342.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.70 / $155.18 / $202.41	Professional		$114.70	$155.18	$202.41
United Facility/Professional Professional Modifier Low / Median / High Price $72.18 / $117.21 / $208.97	Professional		$72.18	$117.21	$208.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.19 / $136.19 / $156.62	Professional		$136.19	$136.19	$156.62