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 $974.76 / $974.76 / $974.76	Professional		$974.76	$974.76	$974.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,665.04 / $1,816.40 / $2,119.14	Professional		$1,665.04	$1,816.40	$2,119.14
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 $1,987.46 / $2,190.63 / $2,587.83	Professional		$1,987.46	$2,190.63	$2,587.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $29.27 / $29.27	Professional		$29.27	$29.27	$29.27