Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $26.90 / $72.09	Professional		$21.69	$26.90	$72.09
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $57.90 / $138.26 / $138.26	Professional	25	$57.90	$138.26	$138.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $33.00	Professional		$20.00	$20.00	$33.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $33.97 / $33.97	Facility		$33.97	$33.97	$33.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.72 / $37.34 / $59.85	Professional		$24.72	$37.34	$59.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $34.90 / $49.84	Professional		$26.96	$34.90	$49.84
United Facility/Professional Professional Modifier Low / Median / High Price $23.73 / $33.75 / $60.47	Professional		$23.73	$33.75	$60.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $38.88 / $43.20	Professional		$31.72	$38.88	$43.20