Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $102.33 / $120.23	Facility		$91.20	$102.33	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $199.53	Professional		$74.13	$100.00	$199.53
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $20.42 / $102.33 / $102.33	Professional	25	$20.42	$102.33	$102.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $162.18 / $229.09	Professional		$93.33	$162.18	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $181.97	Professional		$89.13	$131.83	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $79.43	Facility		$63.10	$63.10	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $100.00 / $177.83	Professional		$66.07	$100.00	$177.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $120.23 / $181.97	Professional		$109.65	$120.23	$181.97