Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,423.75 / $1,423.75 / $1,423.75	Facility		$1,423.75	$1,423.75	$1,423.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,423.75 / $1,423.75 / $1,423.75	Professional		$1,423.75	$1,423.75	$1,423.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $1,380.10	Facility		$1,380.10	$1,380.10	$1,380.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $1,380.10	Professional		$1,380.10	$1,380.10	$1,380.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,838.42 / $3,982.00 / $3,982.00	Professional		$1,838.42	$3,982.00	$3,982.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,675.00 / $2,008.96 / $2,714.81	Professional		$1,675.00	$2,008.96	$2,714.81