Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $707.95 / $954.99	Facility		$691.83	$707.95	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $588.84 / $954.99	Facility		$363.08	$588.84	$954.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $758.58 / $794.33	Facility		$645.65	$758.58	$794.33