Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $123.03	Professional		$72.44	$100.00	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $162.18	Professional		$91.20	$120.23	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $87.10 / $169.82	Facility		$74.13	$87.10	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $204.17	Professional		$87.10	$120.23	$204.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $162.18	Professional		$114.82	$144.54	$162.18