Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $4,004.00 / $4,601.00	Facility		$1,614.00	$4,004.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,658.12 / $1,658.12 / $1,658.12	Professional		$1,658.12	$1,658.12	$1,658.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,628.85 / $1,628.85 / $1,714.58	Professional		$1,628.85	$1,628.85	$1,714.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,461.13 / $2,465.65 / $4,824.43	Professional		$1,461.13	$2,465.65	$4,824.43