Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $630.96 / $1,513.56	Facility		$323.59	$630.96	$1,513.56
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	AS	$32.36	$32.36	$32.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $275.42	Professional		$147.91	$190.55	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $107.15 / $602.56	Facility		$75.86	$107.15	$602.56