Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.77 / $137.77 / $137.77	Facility		$137.77	$137.77	$137.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.77 / $137.77 / $137.77	Professional		$137.77	$137.77	$137.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.08 / $162.08 / $162.08	Facility		$162.08	$162.08	$162.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $162.08 / $206.42	Professional		$162.08	$162.08	$206.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.00 / $239.00 / $239.00	Professional		$239.00	$239.00	$239.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $162.08 / $262.70	Professional		$162.08	$162.08	$262.70