Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.63 / $158.63 / $235.05	Facility		$158.63	$158.63	$235.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.07 / $161.57 / $329.26	Professional		$110.07	$161.57	$329.26
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $216.61 / $240.52 / $361.18	Professional	25	$216.61	$240.52	$361.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $121.86 / $134.05 / $187.02	Professional		$121.86	$134.05	$187.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.49 / $186.03 / $328.00	Professional		$118.49	$186.03	$328.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.19 / $202.29 / $319.41	Professional		$118.19	$202.29	$319.41
United Facility/Professional Professional Modifier Low / Median / High Price $128.56 / $191.13 / $350.44	Professional		$128.56	$191.13	$350.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.97 / $219.33 / $329.00	Professional		$144.97	$219.33	$329.00