Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $2,747.00 / $3,883.00	Facility		$1,486.00	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.02 / $416.02 / $416.02	Professional		$416.02	$416.02	$416.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $535.73 / $584.44 / $681.84	Professional		$535.73	$584.44	$681.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $437.41 / $588.80 / $603.11	Professional		$437.41	$588.80	$603.11