Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $5,299.00	Facility		$1,758.00	$4,456.00	$5,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.81 / $178.81 / $215.47	Professional		$178.81	$178.81	$215.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.62 / $198.06 / $309.95	Professional		$155.62	$198.06	$309.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.30 / $303.41 / $326.93	Professional		$236.30	$303.41	$326.93