Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.66 / $67.81 / $178.82	Professional		$56.66	$67.81	$178.82
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $168.79 / $209.60 / $326.17	Professional	25	$168.79	$209.60	$326.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $78.14 / $117.45	Professional		$65.77	$78.14	$117.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.80 / $94.80 / $94.80	Facility		$94.80	$94.80	$94.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.10 / $96.35 / $148.93	Professional		$58.10	$96.35	$148.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $87.33 / $121.90	Professional		$68.34	$87.33	$121.90
United Facility/Professional Professional Modifier Low / Median / High Price $57.90 / $78.84 / $137.84	Professional		$57.90	$78.84	$137.84
United Facility/Professional Professional Modifier 25 Low / Median / High Price $94.07 / $94.07 / $94.07	Professional	25	$94.07	$94.07	$94.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.65 / $94.07 / $104.52	Professional		$76.65	$94.07	$104.52