Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $9,567.00 / $15,893.00	Facility		$1,614.00	$9,567.00	$15,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.09 / $643.09 / $643.09	Professional		$643.09	$643.09	$643.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,832.00 / $20,514.00 / $37,262.00	Facility		$13,832.00	$20,514.00	$37,262.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $612.39 / $1,326.01 / $1,326.01	Professional		$612.39	$1,326.01	$1,326.01
United Facility/Professional Facility Modifier Low / Median / High Price $7,840.00 / $10,006.00 / $47,612.00	Facility		$7,840.00	$10,006.00	$47,612.00
United Facility/Professional Professional Modifier Low / Median / High Price $584.38 / $1,604.05 / $1,688.47	Professional		$584.38	$1,604.05	$1,688.47