Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $173.78 / $208.93	Facility		$154.88	$173.78	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $363.08	Professional		$128.82	$173.78	$363.08
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $239.88 / $239.88 / $239.88	Professional	25	$239.88	$239.88	$239.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $295.12 / $398.11	Professional		$154.88	$295.12	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $323.59	Professional		$147.91	$223.87	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $138.04	Facility		$85.11	$85.11	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $177.83 / $316.23	Professional		$102.33	$177.83	$316.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $199.53 / $309.03	Professional		$181.97	$199.53	$309.03