Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.00 / $1,105.00 / $1,105.00	Facility		$1,105.00	$1,105.00	$1,105.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,105.00 / $1,105.00 / $1,105.00	Professional		$1,105.00	$1,105.00	$1,105.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Facility		$1,066.90	$1,066.90	$1,066.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Professional		$1,066.90	$1,066.90	$1,066.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,049.75 / $1,049.75 / $1,645.61	Professional		$1,049.75	$1,049.75	$1,645.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,235.00 / $2,001.66	Professional		$1,235.00	$1,235.00	$2,001.66