Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $208.93	Facility		$25.12	$25.12	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $25.12 / $26.92	Professional		$10.00	$25.12	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $57.54 / $128.82	Facility		$54.95	$57.54	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $48.98	Professional		$38.90	$38.90	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $20.42 / $43.65	Professional		$14.45	$20.42	$43.65