Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.86 / $148.86 / $148.86	Facility		$148.86	$148.86	$148.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $25.53 / $63.52	Professional		$21.45	$25.53	$63.52
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $25.11 / $94.80 / $97.21	Professional	25	$25.11	$94.80	$97.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $23.77 / $30.19	Professional		$22.13	$23.77	$30.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $33.15 / $33.15	Facility		$33.15	$33.15	$33.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $31.94 / $51.55	Professional		$21.28	$31.94	$51.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $33.54 / $47.94	Professional		$25.49	$33.54	$47.94
United Facility/Professional Professional Modifier Low / Median / High Price $20.37 / $29.49 / $47.09	Professional		$20.37	$29.49	$47.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $28.79 / $43.19	Professional		$25.91	$28.79	$43.19