Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,890.45 / $3,890.45	Facility		$1,513.56	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $741.31	Professional		$173.78	$190.55	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $257.04 / $323.59	Professional		$134.90	$257.04	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $245.47 / $407.38	Professional		$56.23	$245.47	$407.38