Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.88 / $148.33 / $174.50	Facility		$130.88	$148.33	$174.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.70 / $122.49 / $154.52	Professional		$104.70	$122.49	$154.52
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $24.50 / $68.90 / $175.00	Professional	25	$24.50	$68.90	$175.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $103.06 / $103.06 / $103.06	Professional		$103.06	$103.06	$103.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $230.03 / $269.08	Professional		$132.00	$230.03	$269.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.85 / $179.73 / $234.44	Professional		$132.85	$179.73	$234.44
United Facility/Professional Facility Modifier Low / Median / High Price $115.13 / $115.13 / $115.13	Facility		$115.13	$115.13	$115.13
United Facility/Professional Professional Modifier Low / Median / High Price $82.55 / $144.90 / $301.26	Professional		$82.55	$144.90	$301.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $156.29 / $156.29 / $179.73	Professional		$156.29	$156.29	$179.73