Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.56 / $5,063.00 / $7,421.00	Facility		$333.56	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.42 / $345.06 / $417.93	Professional		$289.42	$345.06	$417.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $432.16 / $432.16 / $432.16	Facility		$432.16	$432.16	$432.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.90 / $419.90 / $4,830.16	Facility		$419.90	$419.90	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.56 / $325.56 / $575.75	Professional		$325.56	$325.56	$575.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $356.64 / $1,368.33	Professional		$345.40	$356.64	$1,368.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $330.07 / $543.23 / $925.32	Professional		$330.07	$543.23	$925.32