Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.29 / $81.29 / $81.29	Facility		$81.29	$81.29	$81.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.69 / $81.29 / $123.34	Professional		$73.69	$81.29	$123.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $73.14 / $73.14	Professional		$73.14	$73.14	$73.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.59 / $211.03 / $211.03	Professional		$106.59	$211.03	$211.03
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $87.24 / $252.91	Professional		$48.98	$87.24	$252.91