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 $744.80 / $744.80 / $744.80	Professional		$744.80	$744.80	$744.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.52 / $285.89 / $363.86	Professional		$135.52	$285.89	$363.86
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 $56.41 / $277.47 / $407.58	Professional		$56.41	$277.47	$407.58