Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $5,299.00	Facility		$1,758.00	$4,456.00	$5,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.05 / $367.05 / $367.05	Professional		$367.05	$367.05	$367.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.00 / $305.52 / $350.46	Professional		$257.00	$305.52	$350.46
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 $275.95 / $391.78 / $1,264.53	Professional		$275.95	$391.78	$1,264.53