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 $216.40 / $281.52 / $281.52	Professional		$216.40	$281.52	$281.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $230.71 / $251.69 / $293.64	Professional		$230.71	$251.69	$293.64
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 $184.10 / $325.97 / $934.92	Professional		$184.10	$325.97	$934.92
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $167.37 / $250.06	Professional		$29.27	$167.37	$250.06