Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.53 / $178.77 / $573.00	Professional		$115.53	$178.77	$573.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $115.53 / $182.00 / $763.45	Professional	25	$115.53	$182.00	$763.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $158.06 / $158.06 / $202.32	Professional		$158.06	$158.06	$202.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.13 / $187.13 / $187.13	Facility		$187.13	$187.13	$187.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $147.60 / $147.60	Professional		$147.60	$147.60	$147.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.80 / $197.75 / $275.93	Professional		$152.80	$197.75	$275.93
United Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $183.92 / $365.25	Professional		$135.41	$183.92	$365.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $179.77 / $219.31 / $243.67	Professional		$179.77	$219.31	$243.67