Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $61.66	Professional		$19.95	$25.70	$61.66
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $26.92 / $61.66 / $97.72	Professional	25	$26.92	$61.66	$97.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.99 / $32.36	Professional		$20.89	$23.99	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $48.98	Professional		$21.88	$28.84	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $43.65	Professional		$22.91	$32.36	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $22.39 / $26.30	Facility		$14.13	$22.39	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.84 / $45.71	Professional		$20.42	$28.84	$45.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.84 / $42.66	Professional		$25.70	$28.84	$42.66