Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $36.15 / $80.72	Professional		$23.00	$36.15	$80.72
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $39.76 / $50.21 / $144.00	Professional	25	$39.76	$50.21	$144.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.04 / $15.39 / $22.35	Professional	52	$11.04	$15.39	$22.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.21 / $25.92 / $41.47	Professional		$24.21	$25.92	$41.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.77 / $35.77 / $35.77	Facility		$35.77	$35.77	$35.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $34.82 / $34.82	Professional		$34.82	$34.82	$34.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.33 / $47.41 / $66.39	Professional		$32.33	$47.41	$66.39
United Facility/Professional Professional Modifier Low / Median / High Price $28.09 / $40.31 / $74.16	Professional		$28.09	$40.31	$74.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $46.46 / $57.47	Professional		$32.72	$46.46	$57.47