Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $602.56 / $2,290.87	Facility		$575.44	$602.56	$2,290.87
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility	22	$2,754.23	$2,754.23	$2,754.23
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility	52	$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $229.09 / $229.09 / $229.09	Facility	AS	$229.09	$229.09	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $1,995.26	Professional		$1,096.48	$1,445.44	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $416.87 / $1,230.27	Facility		$302.00	$416.87	$1,230.27