Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.04 / $111.04 / $360.00	Professional		$111.04	$111.04	$360.00
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 $42.24 / $42.24 / $42.24	Professional		$42.24	$42.24	$42.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $136.00 / $136.00	Professional		$126.00	$136.00	$136.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $19.25 / $19.25	Professional		$19.25	$19.25	$19.25