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 $983.78 / $983.78 / $983.78	Professional		$983.78	$983.78	$983.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,731.64 / $1,889.06 / $2,203.91	Professional		$1,731.64	$1,889.06	$2,203.91
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 $1,992.27 / $2,278.26 / $2,594.11	Professional		$1,992.27	$2,278.26	$2,594.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $29.27 / $29.27	Professional		$29.27	$29.27	$29.27