Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $47.50 / $52.67	Professional		$47.50	$47.50	$52.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $29.52 / $29.52	Professional		$29.52	$29.52	$29.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $45.00 / $45.00	Professional		$26.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $50.00 / $85.53	Professional		$37.00	$50.00	$85.53