Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.85 / $131.85 / $199.34	Facility		$131.85	$131.85	$199.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.43 / $168.08 / $325.64	Professional		$113.43	$168.08	$325.64
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $216.61 / $216.61 / $240.52	Professional	25	$216.61	$216.61	$240.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $121.86 / $168.85	Professional		$115.77	$121.86	$168.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.49 / $190.94 / $472.42	Professional		$118.49	$190.94	$472.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.19 / $170.66 / $475.18	Professional		$118.19	$170.66	$475.18
United Facility/Professional Professional Modifier Low / Median / High Price $125.96 / $223.36 / $501.61	Professional		$125.96	$223.36	$501.61