Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,663.80 / $14,343.75 / $14,343.75	Facility		$4,663.80	$14,343.75	$14,343.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,545.58 / $1,545.58 / $1,545.58	Professional		$1,545.58	$1,545.58	$1,545.58
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 $660.66 / $660.66 / $660.66	Professional		$660.66	$660.66	$660.66
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 $1,545.58 / $1,638.31 / $4,480.00	Facility		$1,545.58	$1,638.31	$4,480.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $660.66 / $660.66 / $660.66	Professional		$660.66	$660.66	$660.66