Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.40 / $739.40 / $739.40	Facility		$739.40	$739.40	$739.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $739.40 / $739.40 / $739.40	Professional		$739.40	$739.40	$739.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $739.40 / $739.40 / $739.40	Facility		$739.40	$739.40	$739.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.40 / $739.40 / $739.40	Professional		$739.40	$739.40	$739.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.57 / $638.57 / $964.47	Professional		$638.57	$638.57	$964.47
United Facility/Professional Professional Modifier Low / Median / High Price $57.20 / $117.26 / $809.59	Professional		$57.20	$117.26	$809.59