Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Facility		$750.00	$750.00	$750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $53.00 / $750.00	Professional		$32.50	$53.00	$750.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.00 / $675.00 / $810.00	Professional		$495.00	$675.00	$810.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.64 / $350.00 / $656.00	Professional		$222.64	$350.00	$656.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $64.00 / $77.00	Professional		$30.00	$64.00	$77.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $49.30 / $71.83	Professional		$8.69	$49.30	$71.83