Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.98 / $122.98 / $164.00	Facility		$122.98	$122.98	$164.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.10 / $168.00	Professional		$30.00	$45.10	$168.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $72.00 / $94.21	Professional		$55.00	$72.00	$94.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.13 / $73.13 / $73.13	Professional		$73.13	$73.13	$73.13
United Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $17.48 / $17.48	Professional		$17.48	$17.48	$17.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $40.40 / $40.40	Professional		$40.40	$40.40	$40.40