Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $208.93	Professional		$123.03	$158.49	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $204.17	Professional		$134.90	$165.96	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $269.15	Professional		$158.49	$199.53	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $275.42	Professional		$128.82	$181.97	$275.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $213.80 / $309.03	Professional		$190.55	$213.80	$309.03