Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,898.00 / $3,444.00	Facility		$988.00	$2,898.00	$3,444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.83 / $315.83 / $315.83	Professional		$315.83	$315.83	$315.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.59 / $289.08 / $367.92	Professional		$127.59	$289.08	$367.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.94 / $327.63 / $407.58	Professional		$181.94	$327.63	$407.58