Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $561.73 / $5,786.76 / $16,877.70	Facility		$561.73	$5,786.76	$16,877.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,372.89 / $5,160.84 / $15,936.00	Professional		$4,372.89	$5,160.84	$15,936.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,480.00 / $4,480.00 / $4,480.00	Facility		$4,480.00	$4,480.00	$4,480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.91 / $3,467.91 / $3,467.91	Professional		$3,467.91	$3,467.91	$3,467.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $638.07 / $801.00	Professional		$129.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $100.00	Facility		$65.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,160.84 / $5,160.84 / $11,560.28	Facility		$5,160.84	$5,160.84	$11,560.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,467.91 / $3,467.91 / $3,467.91	Professional		$3,467.91	$3,467.91	$3,467.91