Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $72.44 / $223.87	Professional		$56.23	$72.44	$223.87
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $58.88 / $125.89 / $288.40	Professional	25	$58.88	$125.89	$288.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $77.62 / $112.20	Professional		$74.13	$77.62	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $147.91	Professional		$58.88	$81.28	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $117.49	Professional		$64.57	$85.11	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $57.54 / $70.79	Facility		$46.77	$57.54	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $81.28 / $131.83	Professional		$60.26	$81.28	$131.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $117.49	Professional		$81.28	$102.33	$117.49