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 $350.00 / $363.00 / $442.00	Facility		$350.00	$363.00	$442.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $410.00 / $2,811.00	Facility		$385.00	$410.00	$2,811.00
United Facility/Professional Facility Modifier Low / Median / High Price $409.50 / $450.00 / $1,028.00	Facility		$409.50	$450.00	$1,028.00
Wellpoint Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $450.00	Facility		$300.00	$300.00	$450.00