Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $707.95	Facility		$64.57	$64.57	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $66.07 / $69.18	Professional		$64.57	$66.07	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $194.98 / $331.13	Facility		$138.04	$194.98	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $165.96	Professional		$131.83	$131.83	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $51.29 / $120.23	Professional		$36.31	$51.29	$120.23