Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,949.84 / $4,897.79	Facility		$977.24	$1,949.84	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $77.62	Professional		$75.86	$75.86	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $104.71 / $416.87	Facility		$87.10	$104.71	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $107.15 / $128.82	Professional		$52.48	$107.15	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87