Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $7,287.00 / $9,719.00	Facility		$1,017.00	$7,287.00	$9,719.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $244.29 / $244.29 / $244.29	Facility	52	$244.29	$244.29	$244.29
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $97.71 / $97.71 / $97.71	Facility	53	$97.71	$97.71	$97.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,832.00 / $20,514.00 / $37,262.00	Facility		$13,832.00	$20,514.00	$37,262.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,152.52 / $1,152.52 / $1,152.52	Professional		$1,152.52	$1,152.52	$1,152.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $5,185.00 / $53,966.00	Facility		$4,062.00	$5,185.00	$53,966.00