Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,999.00 / $6,456.00	Facility		$1,017.00	$3,999.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.76 / $460.76 / $460.76	Professional		$460.76	$460.76	$460.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $417.96 / $1,016.07 / $1,016.07	Professional		$417.96	$1,016.07	$1,016.07
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 $525.71 / $1,507.81 / $1,655.59	Professional		$525.71	$1,507.81	$1,655.59