Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,530.00 / $7,675.00 / $14,393.00	Facility		$1,530.00	$7,675.00	$14,393.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $401.00 / $1,947.00	Facility		$350.00	$401.00	$1,947.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $1,627.76	Facility		$200.00	$200.00	$1,627.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $401.00 / $17,616.57 / $35,173.12	Facility		$401.00	$17,616.57	$35,173.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,084.00 / $1,084.00 / $1,084.00	Facility		$1,084.00	$1,084.00	$1,084.00