Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.95 / $109.95 / $1,340.00	Facility		$109.95	$109.95	$1,340.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.95 / $122.02 / $150.00	Professional		$109.95	$122.02	$150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $88.53 / $314.33	Professional		$88.53	$88.53	$314.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.28 / $255.47 / $255.47	Professional		$125.28	$255.47	$255.47
United Facility/Professional Professional Modifier Low / Median / High Price $84.95 / $248.35 / $432.45	Professional		$84.95	$248.35	$432.45