Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,999.00 / $6,456.00	Facility		$1,017.00	$3,999.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.42 / $196.42 / $206.42	Professional		$196.42	$196.42	$206.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.29 / $194.86 / $403.88	Professional		$168.29	$194.86	$403.88
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $183.35 / $231.00 / $684.33	Professional		$183.35	$231.00	$684.33