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 $455.30 / $455.30 / $455.30	Professional		$455.30	$455.30	$455.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $938.05 / $938.05 / $938.05	Professional		$938.05	$938.05	$938.05
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 $378.64 / $514.44 / $1,189.27	Professional		$378.64	$514.44	$1,189.27