Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $3,162.28 / $7,762.47	Facility		$89.13	$3,162.28	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $95.50	Professional		$61.66	$79.43	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $91.20 / $186.21	Professional		$87.10	$91.20	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $117.49 / $245.47	Professional		$74.13	$117.49	$245.47