Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.02 / $205.70 / $205.70	Professional		$196.02	$205.70	$205.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Facility		$205.70	$205.70	$205.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Professional		$205.70	$205.70	$205.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.83 / $112.01 / $130.24	Professional		$86.83	$112.01	$130.24
United Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $220.00 / $233.20	Professional		$220.00	$220.00	$233.20