Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,747.00 / $2,898.00	Facility		$988.00	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.39 / $391.60 / $446.40	Professional		$376.39	$391.60	$446.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.28 / $139.28 / $196.63	Professional		$139.28	$139.28	$196.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.11 / $267.39 / $311.95	Professional		$245.11	$267.39	$311.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.28 / $229.65 / $407.17	Professional		$139.28	$229.65	$407.17