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 $406.48 / $406.48 / $406.48	Professional		$406.48	$406.48	$406.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.12 / $92.12 / $130.04	Professional		$92.12	$92.12	$130.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.33 / $111.25 / $131.19	Professional		$66.33	$111.25	$131.19
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 $92.12 / $122.63 / $156.43	Professional		$92.12	$122.63	$156.43