Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $59.00 / $143.84	Professional		$13.63	$59.00	$143.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.09 / $88.09 / $92.55	Professional		$88.09	$88.09	$92.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $124.01 / $201.75	Professional		$87.56	$124.01	$201.75
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.88 / $105.99 / $202.20	Professional		$75.88	$105.99	$202.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.74 / $112.74 / $118.46	Professional		$112.74	$112.74	$118.46