Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,898.00 / $3,444.00	Facility		$988.00	$2,898.00	$3,444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.98 / $126.98 / $152.28	Professional		$126.98	$126.98	$152.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.93 / $175.30 / $223.10	Professional		$92.93	$175.30	$223.10
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 $80.34 / $239.28 / $245.81	Professional		$80.34	$239.28	$245.81