Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $8,210.00 / $10,007.00	Facility		$2,747.00	$8,210.00	$10,007.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.85 / $566.85 / $566.85	Professional		$566.85	$566.85	$566.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $505.45 / $551.40 / $643.29	Professional		$505.45	$551.40	$643.29
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $3,340.00 / $3,340.00	Facility		$3,340.00	$3,340.00	$3,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $706.06 / $992.28 / $1,071.55	Professional		$706.06	$992.28	$1,071.55