Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $614.90 / $614.90 / $820.00	Facility		$614.90	$614.90	$820.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $41.00 / $1,190.00	Professional		$30.00	$41.00	$1,190.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $648.00 / $847.89	Professional		$450.00	$648.00	$847.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $650.00 / $830.00	Professional		$450.00	$650.00	$830.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $59.99 / $92.71	Professional		$46.00	$59.99	$92.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $172.30 / $172.30 / $250.00	Professional		$172.30	$172.30	$250.00