Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,380.38 / $1,380.38	Professional		$1,288.25	$1,380.38	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $151.36 / $2,570.40	Professional		$138.04	$151.36	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $870.96 / $1,348.96	Professional		$125.89	$870.96	$1,348.96