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 $194.70 / $194.70 / $194.70	Professional		$194.70	$194.70	$194.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.16 / $184.16 / $259.99	Professional		$184.16	$184.16	$259.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.81 / $222.39 / $262.25	Professional		$116.81	$222.39	$262.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.16 / $239.42 / $309.58	Professional		$184.16	$239.42	$309.58