Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.18 / $131.05 / $273.27	Professional		$76.18	$131.05	$273.27
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $91.87 / $139.27 / $400.00	Professional	25	$91.87	$139.27	$400.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $121.56 / $155.60	Professional		$121.56	$121.56	$155.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.59 / $146.59 / $146.59	Facility		$146.59	$146.59	$146.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $116.36 / $116.36	Professional		$116.36	$116.36	$116.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.93 / $156.50 / $219.15	Professional		$120.93	$156.50	$219.15
United Facility/Professional Professional Modifier Low / Median / High Price $93.66 / $123.35 / $188.07	Professional		$93.66	$123.35	$188.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $142.27 / $172.89 / $192.11	Professional		$142.27	$172.89	$192.11