Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $26.92 / $89.13	Professional		$20.42	$26.92	$89.13
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $27.54 / $57.54 / $138.04	Professional	25	$27.54	$57.54	$138.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $28.84	Professional		$19.95	$19.95	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $58.88	Professional		$25.12	$34.67	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $44.67	Professional		$23.99	$33.88	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $23.44 / $29.51	Facility		$19.05	$23.44	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $31.62 / $50.12	Professional		$22.91	$31.62	$50.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $46.77	Professional		$32.36	$40.74	$46.77