Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $1,513.56	Facility		$144.54	$144.54	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $147.91 / $154.88	Professional		$144.54	$147.91	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $416.87 / $741.31	Facility		$316.23	$416.87	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $354.81	Professional		$281.84	$281.84	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $257.04	Professional		$81.28	$117.49	$257.04