Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,883.00 / $4,705.00	Facility		$1,486.00	$3,883.00	$4,705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,470.88 / $1,470.88 / $1,470.88	Professional		$1,470.88	$1,470.88	$1,470.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,868.46 / $2,038.32 / $2,378.04	Professional		$1,868.46	$2,038.32	$2,378.04
United Facility/Professional Facility Modifier Low / Median / High Price $4,252.00 / $4,252.00 / $4,252.00	Facility		$4,252.00	$4,252.00	$4,252.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,470.09 / $1,828.17 / $2,865.20	Professional		$1,470.09	$1,828.17	$2,865.20