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 $898.11 / $1,468.98 / $2,391.23	Professional		$898.11	$1,468.98	$2,391.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,106.00 / $3,250.00 / $6,124.00	Professional		$1,106.00	$3,250.00	$6,124.00