Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.27 / $202.27 / $202.27	Facility		$202.27	$202.27	$202.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.82 / $202.27 / $202.27	Professional		$167.82	$202.27	$202.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.36 / $754.48 / $897.15	Facility		$505.36	$754.48	$897.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.62 / $54.62 / $54.62	Professional		$54.62	$54.62	$54.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $41.44 / $77.51	Professional		$35.79	$41.44	$77.51
United Facility/Professional Professional Modifier Low / Median / High Price $103.47 / $171.02 / $466.89	Professional		$103.47	$171.02	$466.89