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
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $233.45 / $233.45 / $233.45	Professional	50	$233.45	$233.45	$233.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $483.00 / $526.91 / $614.73	Professional		$483.00	$526.91	$614.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00