Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $375.00 / $375.00	Facility		$375.00	$375.00	$375.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $53.00 / $375.00	Professional		$32.50	$53.00	$375.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.32 / $175.00 / $328.00	Professional		$111.32	$175.00	$328.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $64.00 / $77.00	Professional		$30.00	$64.00	$77.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $49.30 / $71.83	Professional		$8.69	$49.30	$71.83