Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.43 / $77.83 / $190.99	Professional		$59.43	$77.83	$190.99
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $69.52 / $82.06 / $245.60	Professional	25	$69.52	$82.06	$245.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $80.23 / $117.45	Professional		$65.77	$80.23	$117.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.27 / $100.27 / $100.27	Facility		$100.27	$100.27	$100.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.74 / $104.25 / $170.69	Professional		$63.74	$104.25	$170.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.04 / $101.45 / $141.86	Professional		$76.04	$101.45	$141.86
United Facility/Professional Professional Modifier Low / Median / High Price $66.91 / $91.33 / $158.41	Professional		$66.91	$91.33	$158.41
United Facility/Professional Professional Modifier 25 Low / Median / High Price $99.10 / $99.10 / $99.10	Professional	25	$99.10	$99.10	$99.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.56 / $108.69 / $120.77	Professional		$88.56	$108.69	$120.77