Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,258.93 / $1,288.25	Professional		$1,202.26	$1,258.93	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $204.17	Professional		$125.89	$154.88	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,230.27 / $1,258.93	Professional		$125.89	$1,230.27	$1,258.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $204.17	Professional		$151.36	$173.78	$204.17