Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.58 / $613.58 / $3,678.85	Facility		$613.58	$613.58	$3,678.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.00 / $909.33 / $1,530.89	Facility		$508.00	$909.33	$1,530.89
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $125.57 / $125.57 / $125.57	Facility	52	$125.57	$125.57	$125.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.03 / $174.77 / $264.85	Professional		$138.03	$174.77	$264.85
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $453.00 / $1,330.00	Facility		$418.00	$453.00	$1,330.00