Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Professional		$200.00	$200.00	$200.00
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 $1,243.45 / $2,033.58 / $3,310.52	Professional		$1,243.45	$2,033.58	$3,310.52
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,279.00 / $3,709.33 / $6,172.00	Professional		$1,279.00	$3,709.33	$6,172.00