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 $815.23 / $815.23 / $815.23	Professional		$815.23	$815.23	$815.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $656.40 / $1,842.36 / $1,842.36	Professional		$656.40	$1,842.36	$1,842.36
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 $336.46 / $564.49 / $1,917.60	Professional		$336.46	$564.49	$1,917.60