Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $5,299.00	Facility		$1,758.00	$4,456.00	$5,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.79 / $485.79 / $485.79	Professional		$485.79	$485.79	$485.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $927.31 / $1,011.61 / $1,180.21	Professional		$927.31	$1,011.61	$1,180.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $605.37 / $605.37 / $918.48	Professional		$605.37	$605.37	$918.48