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 $310.68 / $310.68 / $310.68	Professional		$310.68	$310.68	$310.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.63 / $365.05 / $425.89	Professional		$334.63	$365.05	$425.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $386.92 / $543.84 / $587.39	Professional		$386.92	$543.84	$587.39