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 $1,117.19 / $1,117.19 / $1,117.19	Professional		$1,117.19	$1,117.19	$1,117.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,998.04 / $2,179.67 / $2,542.96	Professional		$1,998.04	$2,179.67	$2,542.96
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 $2,278.67 / $2,628.75 / $2,967.02	Professional		$2,278.67	$2,628.75	$2,967.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $29.27 / $29.27	Professional		$29.27	$29.27	$29.27