Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $2,747.00 / $2,747.00	Facility		$2,747.00	$2,747.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,264.44 / $1,264.44 / $1,639.72	Professional		$1,264.44	$1,264.44	$1,639.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.47 / $241.61 / $281.88	Professional		$221.47	$241.61	$281.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $2,446.00 / $2,446.00	Facility		$2,446.00	$2,446.00	$2,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.72 / $358.95 / $903.54	Professional		$176.72	$358.95	$903.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $223.03 / $240.04	Professional		$30.24	$223.03	$240.04