Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.41 / $553.41 / $738.00	Facility		$553.41	$553.41	$738.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $38.00 / $1,071.00	Professional		$30.00	$38.00	$1,071.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $576.00 / $753.68	Professional		$400.00	$576.00	$753.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $405.00 / $585.00 / $747.00	Professional		$405.00	$585.00	$747.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $55.00 / $78.77	Professional		$45.00	$55.00	$78.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $155.07 / $155.07 / $225.00	Professional		$155.07	$155.07	$225.00