Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,613.51 / $1,613.51 / $1,613.51	Facility		$1,613.51	$1,613.51	$1,613.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,613.51 / $3,293.06 / $4,414.60	Professional		$1,613.51	$3,293.06	$4,414.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,025.83 / $2,316.69 / $2,316.69	Professional		$1,025.83	$2,316.69	$2,316.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,812.40 / $3,561.60 / $4,752.12	Professional		$2,812.40	$3,561.60	$4,752.12
United Facility/Professional Professional Modifier Low / Median / High Price $721.81 / $1,968.79 / $3,655.42	Professional		$721.81	$1,968.79	$3,655.42