Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $147.91 / $186.21	Facility		$50.12	$147.91	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $75.86 / $158.49	Professional		$30.20	$75.86	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $91.20	Professional		$52.48	$67.61	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $75.86 / $85.11	Professional		$60.26	$75.86	$85.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $104.71 / $128.82	Facility		$85.11	$104.71	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $36.31	Professional		$11.22	$11.22	$36.31