Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,883.00 / $4,705.00	Facility		$1,486.00	$3,883.00	$4,705.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.74 / $88.74 / $88.74	Facility		$88.74	$88.74	$88.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.63 / $225.54 / $273.70	Professional		$53.63	$225.54	$273.70
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