Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.14 / $64.23 / $102.25	Facility		$21.14	$64.23	$102.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.02 / $60.02 / $60.02	Facility		$60.02	$60.02	$60.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.17 / $121.17 / $121.17	Facility		$121.17	$121.17	$121.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $77.52 / $149.60	Professional		$23.96	$77.52	$149.60