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 $1,091.79 / $1,091.79 / $1,091.79	Professional		$1,091.79	$1,091.79	$1,091.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,798.24 / $1,961.71 / $2,288.66	Professional		$1,798.24	$1,961.71	$2,288.66
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 $2,177.44 / $2,365.88 / $2,902.41	Professional		$2,177.44	$2,365.88	$2,902.41
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $29.27 / $29.27	Professional		$29.27	$29.27	$29.27