Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.15 / $138.51 / $265.72	Professional		$99.15	$138.51	$265.72
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $170.76 / $261.39 / $261.39	Professional	25	$170.76	$261.39	$261.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.07 / $174.07 / $174.07	Facility		$174.07	$174.07	$174.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Professional		$147.90	$147.90	$147.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.28 / $197.94 / $276.55	Professional		$144.28	$197.94	$276.55
United Facility/Professional Professional Modifier Low / Median / High Price $82.70 / $159.74 / $269.11	Professional		$82.70	$159.74	$269.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $180.15 / $219.75 / $244.17	Professional		$180.15	$219.75	$244.17