Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.43 / $2,747.00 / $6,084.00	Facility		$1,861.43	$2,747.00	$6,084.00
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 $2,624.50 / $4,293.26 / $6,988.98	Professional		$2,624.50	$4,293.26	$6,988.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,924.00 / $5,538.99 / $9,325.00	Professional		$1,924.00	$5,538.99	$9,325.00