Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $46.77 / $64.57	Professional		$28.84	$46.77	$64.57
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $48.98 / $48.98 / $48.98	Professional	25	$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $54.95	Professional		$34.67	$48.98	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $47.86 / $63.10	Professional		$38.02	$47.86	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $54.95 / $85.11	Professional		$38.90	$54.95	$85.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $50.12 / $72.44	Professional		$46.77	$50.12	$72.44