Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,080.00 / $4,100.00	Facility		$1,017.00	$2,080.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $885.44 / $885.44 / $885.44	Professional		$885.44	$885.44	$885.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $692.44 / $1,982.68 / $1,982.68	Professional		$692.44	$1,982.68	$1,982.68
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.30 / $914.48 / $1,872.00	Professional		$213.30	$914.48	$1,872.00