Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,761.00 / $4,100.00	Facility		$1,017.00	$2,761.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $128.49 / $128.49	Professional		$128.49	$128.49	$128.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.64 / $301.64 / $473.14	Professional		$301.64	$301.64	$473.14
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $762.00 / $6,342.00	Facility		$665.00	$762.00	$6,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.90 / $207.39 / $5,264.44	Professional		$122.90	$207.39	$5,264.44