Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.49 / $14.49 / $4,093.75	Facility		$14.49	$14.49	$4,093.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $14.49 / $15.36	Professional		$13.98	$14.49	$15.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $17.05 / $17.05	Facility		$17.05	$17.05	$17.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $21.72	Professional		$17.05	$17.05	$21.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.02 / $23.02 / $42.06	Professional		$23.02	$23.02	$42.06
United Facility/Professional Facility Modifier Low / Median / High Price $16.70 / $16.70 / $16.70	Facility		$16.70	$16.70	$16.70
United Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $17.98	Professional		$17.05	$17.05	$17.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $17.05	Professional		$17.05	$17.05	$17.05