Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $425.00 / $823.82	Facility		$425.00	$425.00	$823.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.62 / $425.00 / $586.50	Professional		$118.62	$425.00	$586.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.24 / $51.24 / $51.24	Facility		$51.24	$51.24	$51.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $145.72 / $400.00	Professional		$77.23	$145.72	$400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.63 / $118.10 / $166.05	Professional		$96.63	$118.10	$166.05