Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $25.87 / $136.00	Professional		$25.87	$25.87	$136.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.00 / $138.00 / $204.75	Facility		$138.00	$138.00	$204.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $18.77 / $18.77	Professional		$18.77	$18.77	$18.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.00 / $235.00 / $235.00	Professional		$193.00	$235.00	$235.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $61.34 / $61.34	Professional		$22.00	$61.34	$61.34