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 $442.00 / $484.00 / $500.00	Facility		$442.00	$484.00	$500.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $434.00 / $465.00 / $500.00	Facility		$434.00	$465.00	$500.00
United Facility/Professional Facility Modifier Low / Median / High Price $472.50 / $550.00 / $1,028.00	Facility		$472.50	$550.00	$1,028.00
Wellpoint Facility/Professional Facility Modifier Low / Median / High Price $370.00 / $370.00 / $525.00	Facility		$370.00	$370.00	$525.00