Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,100.00 / $6,456.00	Facility		$1,017.00	$4,100.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $607.79 / $607.79 / $607.79	Professional		$607.79	$607.79	$607.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $760.19 / $760.19 / $760.19	Professional		$760.19	$760.19	$760.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $9,894.00 / $26,408.00	Facility		$2,648.00	$9,894.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $552.63 / $766.75 / $1,297.14	Professional		$552.63	$766.75	$1,297.14