Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $89.13 / $112.20	Professional		$79.43	$89.13	$112.20
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 $72.44 / $107.15 / $138.04	Professional		$72.44	$107.15	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $120.23 / $165.96	Facility		$107.15	$120.23	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $199.53	Professional		$81.28	$120.23	$199.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $165.96	Professional		$107.15	$147.91	$165.96