Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.77 / $385.02 / $2,155.33	Facility		$216.77	$385.02	$2,155.33
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $108.91 / $173.38 / $263.05	Facility	53	$108.91	$173.38	$263.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $516.15 / $867.13	Facility		$376.00	$516.15	$867.13
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.70 / $52.70 / $52.70	Facility	53	$52.70	$52.70	$52.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.76 / $386.95 / $562.32	Professional		$261.76	$386.95	$562.32
Kaiser Permanente Facility/Professional Professional Modifier 53 Low / Median / High Price $246.24 / $386.95 / $562.32	Professional	53	$246.24	$386.95	$562.32
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $453.00 / $1,330.00	Facility		$418.00	$453.00	$1,330.00