Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,080.00 / $4,100.00	Facility		$1,017.00	$2,080.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.50 / $184.50 / $213.09	Professional		$184.50	$184.50	$213.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.17 / $381.19 / $381.19	Professional		$176.17	$381.19	$381.19
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $1,319.00 / $16,382.00	Facility		$645.00	$1,319.00	$16,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.29 / $209.41 / $490.73	Professional		$168.29	$209.41	$490.73