Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.67 / $1,614.00 / $7,727.00	Facility		$45.67	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.67 / $45.67 / $80.95	Professional		$45.67	$45.67	$80.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $107.83 / $107.83	Professional		$26.95	$107.83	$107.83
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 $14.30 / $108.72 / $247.81	Professional		$14.30	$108.72	$247.81