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 $212.58 / $244.84 / $244.84	Professional		$212.58	$244.84	$244.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.22 / $205.05 / $260.97	Professional		$73.22	$205.05	$260.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.38 / $269.79 / $459.48	Professional		$204.38	$269.79	$459.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $29.27 / $29.27	Professional		$29.27	$29.27	$29.27