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 $64.15 / $64.15 / $76.93	Professional		$64.15	$64.15	$76.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $50.14 / $63.81	Professional		$28.01	$50.14	$63.81
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 $59.18 / $174.65 / $307.31	Professional		$59.18	$174.65	$307.31