Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $1,190.00 / $1,190.00	Facility		$1,190.00	$1,190.00	$1,190.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,190.00 / $1,190.00 / $1,190.00	Professional		$1,190.00	$1,190.00	$1,190.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $659.12 / $659.12 / $659.12	Facility		$659.12	$659.12	$659.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.12 / $659.12 / $659.12	Professional		$659.12	$659.12	$659.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $878.00 / $1,901.75 / $1,901.75	Professional		$878.00	$1,901.75	$1,901.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,400.00 / $1,400.00 / $2,269.09	Professional		$1,400.00	$1,400.00	$2,269.09