Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $986.45 / $5,110.51 / $8,443.50	Facility		$986.45	$5,110.51	$8,443.50
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $6,083.19 / $6,083.19 / $8,478.27	Facility	22	$6,083.19	$6,083.19	$8,478.27
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,222.04 / $2,222.04 / $2,222.04	Facility	52	$2,222.04	$2,222.04	$2,222.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,016.21 / $4,340.00	Facility		$1,529.00	$3,016.21	$4,340.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $645.72 / $645.72 / $645.72	Facility	52	$645.72	$645.72	$645.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $80.72 / $80.72 / $80.72	Facility	AS	$80.72	$80.72	$80.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $711.26 / $912.70 / $1,261.76	Professional		$711.26	$912.70	$1,261.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,541.00 / $2,139.00 / $6,125.00	Facility		$1,541.00	$2,139.00	$6,125.00