Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,747.00 / $2,898.00	Facility		$988.00	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.45 / $300.45 / $300.45	Professional		$300.45	$300.45	$300.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $137.08 / $161.65	Professional		$32.86	$137.08	$161.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.85 / $410.30 / $508.90	Professional		$304.85	$410.30	$508.90