Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,848.00 / $6,456.00	Facility		$1,017.00	$4,848.00	$6,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $544.16 / $955.70 / $955.70	Professional		$544.16	$955.70	$955.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $962.07 / $1,012.70 / $2,083.21	Professional		$962.07	$1,012.70	$2,083.21
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $757.88 / $1,289.56 / $2,574.44	Professional		$757.88	$1,289.56	$2,574.44