Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,096.85 / $4,096.85 / $4,096.85	Facility		$4,096.85	$4,096.85	$4,096.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,855.86 / $4,096.85 / $4,819.82	Professional		$3,855.86	$4,096.85	$4,819.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $4,819.82	Facility		$4,819.82	$4,819.82	$4,819.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $5,683.75	Professional		$4,819.82	$4,819.82	$5,683.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $5,301.80	Professional		$4,819.82	$4,819.82	$5,301.80
United Facility/Professional Professional Modifier Low / Median / High Price $5,684.00 / $6,327.49 / $6,783.29	Professional		$5,684.00	$6,327.49	$6,783.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $4,819.82	Professional		$4,819.82	$4,819.82	$4,819.82