Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.58 / $732.08 / $1,178.42	Facility		$370.58	$732.08	$1,178.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.18 / $58.76 / $324.00	Professional		$38.18	$58.76	$324.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $217.68 / $217.68 / $217.68	Professional	25	$217.68	$217.68	$217.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.58 / $61.58 / $61.58	Facility		$61.58	$61.58	$61.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $48.80 / $48.80	Professional		$48.80	$48.80	$48.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.03 / $65.20 / $98.27	Professional		$51.03	$65.20	$98.27
United Facility/Professional Professional Modifier Low / Median / High Price $26.65 / $59.01 / $115.08	Professional		$26.65	$59.01	$115.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.27 / $72.52 / $80.58	Professional		$59.27	$72.52	$80.58