Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $15.17 / $22.65	Professional		$7.76	$15.17	$22.65
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $21.33 / $22.54 / $86.20	Professional	25	$21.33	$22.54	$86.20
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $3.74 / $5.59 / $10.30	Professional	52	$3.74	$5.59	$10.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $12.08 / $12.08	Facility		$12.08	$12.08	$12.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $15.77	Professional		$15.77	$15.77	$15.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $21.60 / $31.70	Professional		$14.21	$21.60	$31.70
United Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $19.71 / $34.78	Professional		$14.73	$19.71	$34.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $23.46 / $26.07	Professional		$19.64	$23.46	$26.07