Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.78 / $1,550.00 / $1,925.00	Facility		$219.78	$1,550.00	$1,925.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.63 / $219.78 / $219.78	Professional		$200.63	$219.78	$219.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.63 / $628.74 / $628.74	Facility		$223.63	$628.74	$628.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.94 / $278.99 / $521.63	Professional		$235.94	$278.99	$521.63
United Facility/Professional Professional Modifier Low / Median / High Price $163.21 / $308.02 / $804.91	Professional		$163.21	$308.02	$804.91