Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $140.00 / $191.00	Professional		$72.00	$140.00	$191.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.21 / $93.21 / $93.21	Facility		$93.21	$93.21	$93.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $68.73	Professional		$68.73	$68.73	$68.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.93 / $104.61 / $154.18	Professional		$81.93	$104.61	$154.18
United Facility/Professional Professional Modifier Low / Median / High Price $65.80 / $90.00 / $164.91	Professional		$65.80	$90.00	$164.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.25 / $40.25 / $40.25	Professional		$40.25	$40.25	$40.25