Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.67 / $169.67 / $199.95	Professional		$169.67	$169.67	$199.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $164.86 / $164.86	Professional		$164.86	$164.86	$164.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.88 / $216.32 / $282.14	Professional		$159.88	$216.32	$282.14
United Facility/Professional Professional Modifier Low / Median / High Price $149.50 / $190.94 / $334.82	Professional		$149.50	$190.94	$334.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $216.31 / $216.31 / $216.31	Professional		$216.31	$216.31	$216.31