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 $640.00 / $640.00 / $640.00	Professional		$640.00	$640.00	$640.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.31 / $297.48 / $378.62	Professional		$131.31	$297.48	$378.62
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