Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $234.42 / $398.11	Professional		$91.20	$234.42	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $61.66 / $85.11	Professional		$50.12	$61.66	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $77.62 / $104.71	Professional		$69.18	$77.62	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $346.74 / $549.54	Facility		$251.19	$346.74	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $588.84	Professional		$275.42	$380.19	$588.84