Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $4,897.79	Facility		$1,000.00	$2,884.03	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $758.58	Professional		$457.09	$575.44	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $398.11	Professional		$89.13	$89.13	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility		$3,388.44	$3,388.44	$3,388.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,370.32 / $5,370.32	Professional		$3,548.13	$5,370.32	$5,370.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,023.29	Professional		$776.25	$776.25	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $1,202.26	Professional		$295.12	$295.12	$1,202.26