Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,898.00 / $3,444.00	Facility		$988.00	$2,898.00	$3,444.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.52 / $424.52 / $424.52	Facility		$424.52	$424.52	$424.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.19 / $1,431.24 / $1,736.94	Professional		$254.19	$1,431.24	$1,736.94
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