Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $425.00 / $425.00	Facility		$425.00	$425.00	$425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $425.00 / $425.00	Professional		$425.00	$425.00	$425.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.81 / $432.81 / $432.81	Facility		$432.81	$432.81	$432.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.81 / $432.81 / $432.81	Professional		$432.81	$432.81	$432.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $576.54 / $1,186.91 / $1,186.91	Professional		$576.54	$1,186.91	$1,186.91
United Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $810.39	Professional		$500.00	$500.00	$810.39