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 $255.58 / $282.45 / $365.82	Professional		$255.58	$282.45	$365.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.16 / $352.81 / $484.25	Professional		$141.16	$352.81	$484.25
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 $287.33 / $418.14 / $524.65	Professional		$287.33	$418.14	$524.65