Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $645.65	Facility		$630.96	$630.96	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $346.74 / $346.74	Professional		$158.49	$346.74	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $446.68	Professional		$6.92	$6.92	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $630.96 / $831.76	Professional		$398.11	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.52 / $0.52 / $346.74	Facility		$0.52	$0.52	$346.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $446.68	Professional		$58.88	$58.88	$446.68