Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $251.19	Professional		$61.66	$83.18	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,096.48	Professional		$794.33	$794.33	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $1,288.25	Professional		$131.83	$186.21	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,318.26 / $1,445.44	Professional		$125.89	$1,318.26	$1,445.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $204.17	Professional		$151.36	$173.78	$204.17