Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.50 / $2,747.00 / $2,898.00	Facility		$864.50	$2,747.00	$2,898.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.63 / $812.63 / $812.63	Facility		$812.63	$812.63	$812.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.89 / $336.35 / $461.65	Professional		$166.89	$336.35	$461.65
Kaiser Permanente Facility/Professional Professional Modifier 53 Low / Median / High Price $83.45 / $168.17 / $230.83	Professional	53	$83.45	$168.17	$230.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00