Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $5,299.00	Facility		$1,758.00	$4,456.00	$5,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.99 / $853.21 / $1,105.05	Professional		$771.99	$853.21	$1,105.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.86 / $870.44 / $1,131.57	Professional		$201.86	$870.44	$1,131.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $888.30 / $1,463.84 / $1,786.83	Professional		$888.30	$1,463.84	$1,786.83