Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $125.89 / $208.93	Professional		$109.65	$125.89	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $208.93	Professional		$154.88	$154.88	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $416.87	Professional		$199.53	$257.04	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $141.25 / $223.87	Facility		$102.33	$141.25	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $295.12	Professional		$131.83	$173.78	$295.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $245.47	Professional		$181.97	$181.97	$245.47