Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $316.23	Facility		$218.78	$218.78	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $467.74	Professional		$151.36	$218.78	$467.74
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $128.82 / $331.13 / $537.03	Professional	25	$128.82	$331.13	$537.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $186.21 / $275.42	Professional		$169.82	$186.21	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $457.09	Professional		$165.96	$263.03	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $251.19 / $371.54	Professional		$134.90	$251.19	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $229.09 / $338.84	Facility		$181.97	$229.09	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $234.42 / $398.11	Professional		$147.91	$234.42	$398.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $363.08 / $457.09	Professional		$194.98	$363.08	$457.09