Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $7,678.00 / $9,462.00	Facility		$1,017.00	$7,678.00	$9,462.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $305.94 / $305.94 / $305.94	Facility	52	$305.94	$305.94	$305.94
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $122.37 / $122.37 / $122.37	Facility	53	$122.37	$122.37	$122.37
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 $1,439.66 / $1,439.66 / $1,439.66	Professional		$1,439.66	$1,439.66	$1,439.66
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $5,185.00 / $70,978.00	Facility		$4,062.00	$5,185.00	$70,978.00