Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.10 / $175.78 / $206.80	Facility		$155.10	$175.78	$206.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.08 / $160.41 / $213.26	Professional		$124.08	$160.41	$213.26
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $240.88 / $240.88 / $240.88	Professional	25	$240.88	$240.88	$240.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.72 / $128.72 / $128.72	Professional		$128.72	$128.72	$128.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.21 / $296.56 / $395.80	Professional		$155.21	$296.56	$395.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.46 / $211.68 / $276.11	Professional		$156.46	$211.68	$276.11
United Facility/Professional Professional Modifier Low / Median / High Price $101.22 / $179.06 / $318.75	Professional		$101.22	$179.06	$318.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $184.07 / $184.07 / $211.68	Professional		$184.07	$184.07	$211.68