Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $151.36 / $302.00	Facility		$72.44	$151.36	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $87.10 / $128.82	Professional		$72.44	$87.10	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $660.69	Facility		$575.44	$575.44	$660.69