Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $818.92 / $818.92 / $820.59	Facility		$818.92	$818.92	$820.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.21 / $110.12 / $124.65	Professional		$89.21	$110.12	$124.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.09 / $95.40 / $187.84	Facility		$45.09	$95.40	$187.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.51 / $70.45 / $153.07	Professional		$51.51	$70.45	$153.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $136.74 / $159.00	Professional		$106.00	$136.74	$159.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $71.84 / $106.81	Professional		$44.25	$71.84	$106.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $7.47 / $59.33	Professional		$5.82	$7.47	$59.33