Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,162.00 / $4,100.00	Facility		$1,017.00	$3,162.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $103.72 / $329.61	Professional		$35.47	$103.72	$329.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.53 / $51.08 / $120.82	Professional		$48.53	$51.08	$120.82
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 $118.66 / $337.52 / $762.48	Professional		$118.66	$337.52	$762.48