Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.92 / $491.92 / $656.00	Facility		$491.92	$491.92	$656.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $41.00 / $952.00	Professional		$30.00	$41.00	$952.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $504.00 / $659.47	Professional		$350.00	$504.00	$659.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $520.00 / $664.00	Professional		$360.00	$520.00	$664.00
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 $137.84 / $137.84 / $200.00	Professional		$137.84	$137.84	$200.00