Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $42.72 / $112.53	Professional		$17.87	$42.72	$112.53
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $128.00 / $128.00 / $128.00	Professional	25	$128.00	$128.00	$128.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $30.31	Professional		$17.62	$17.62	$30.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.21 / $24.21 / $24.21	Facility		$24.21	$24.21	$24.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $39.88 / $39.88	Professional		$39.88	$39.88	$39.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.03 / $55.04 / $74.45	Professional		$35.03	$55.04	$74.45
United Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $46.99 / $73.88	Professional		$34.33	$46.99	$73.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $59.35	Professional		$10.00	$10.00	$59.35