Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,164.00 / $1,164.00 / $3,228.00	Facility		$1,164.00	$1,164.00	$3,228.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.00 / $300.00 / $430.00	Facility		$285.00	$300.00	$430.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $606.90 / $650.00 / $717.88	Facility		$606.90	$650.00	$717.88
United Facility/Professional Facility Modifier Low / Median / High Price $325.50 / $350.00 / $1,028.00	Facility		$325.50	$350.00	$1,028.00
Wellpoint Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $225.00 / $290.00	Facility		$225.00	$225.00	$290.00