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 $132.90 / $137.77 / $139.38	Professional		$132.90	$137.77	$139.38
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 $183.00 / $222.00 / $239.00	Professional		$183.00	$222.00	$239.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $162.08 / $171.80	Professional		$162.08	$162.08	$171.80