Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,761.00 / $4,100.00	Facility		$1,017.00	$2,761.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.50 / $287.50 / $287.50	Professional		$287.50	$287.50	$287.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $290.77 / $629.61 / $629.61	Professional		$290.77	$629.61	$629.61
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 $261.39 / $454.49 / $774.94	Professional		$261.39	$454.49	$774.94