Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,883.00 / $4,705.00	Facility		$1,486.00	$3,883.00	$4,705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.14 / $133.88 / $173.50	Professional		$121.14	$133.88	$173.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.35 / $178.20 / $207.90	Professional		$163.35	$178.20	$207.90
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 $136.19 / $197.76 / $239.89	Professional		$136.19	$197.76	$239.89