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 $409.53 / $409.53 / $409.53	Professional		$409.53	$409.53	$409.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $402.38 / $438.96 / $512.12	Professional		$402.38	$438.96	$512.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $510.78 / $716.87 / $774.39	Professional		$510.78	$716.87	$774.39