Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Facility		$130.69	$130.69	$130.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Professional		$130.69	$130.69	$130.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Facility		$130.69	$130.69	$130.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Professional		$130.69	$130.69	$130.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $136.46 / $138.38	Professional		$130.69	$136.46	$138.38
United Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $128.13 / $207.67	Professional		$128.13	$128.13	$207.67