Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.18 / $63.86 / $109.21	Professional		$57.18	$63.86	$109.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $56.50 / $56.50	Facility		$56.50	$56.50	$56.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $41.25 / $56.50	Professional		$41.25	$41.25	$56.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.29 / $139.19 / $193.37	Professional		$113.29	$139.19	$193.37
United Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $95.08 / $152.07	Professional		$69.48	$95.08	$152.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.39 / $157.91 / $157.91	Professional		$126.39	$157.91	$157.91