Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $23.68 / $23.68	Professional		$8.00	$23.68	$23.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.00 / $138.00 / $199.50	Facility		$138.00	$138.00	$199.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.72 / $75.72 / $75.72	Professional		$75.72	$75.72	$75.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.00 / $230.00 / $230.00	Professional		$193.00	$230.00	$230.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $61.34 / $61.34	Professional		$22.00	$61.34	$61.34