Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.71 / $72.20 / $84.95	Facility		$63.71	$72.20	$84.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $61.52 / $76.70	Professional		$16.71	$61.52	$76.70
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $14.48 / $70.06 / $76.20	Professional	25	$14.48	$70.06	$76.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.03 / $53.03 / $53.03	Professional		$53.03	$53.03	$53.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $122.44 / $176.40	Professional		$64.05	$122.44	$176.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $86.91 / $113.36	Professional		$64.23	$86.91	$113.36
United Facility/Professional Professional Modifier Low / Median / High Price $46.83 / $74.55 / $164.59	Professional		$46.83	$74.55	$164.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $75.56 / $86.91	Professional		$75.56	$75.56	$86.91