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 $1,427.25 / $1,427.25 / $1,713.37	Professional		$1,427.25	$1,427.25	$1,713.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.05 / $1,814.46 / $2,309.31	Professional		$758.05	$1,814.46	$2,309.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,031.41 / $2,315.69 / $2,620.89	Professional		$2,031.41	$2,315.69	$2,620.89