Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $941.93 / $3,882.00 / $7,727.00	Facility		$941.93	$3,882.00	$7,727.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,999.25 / $21,845.00 / $31,714.79	Facility	50	$2,999.25	$21,845.00	$31,714.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $595.32 / $2,698.50 / $5,397.00	Professional	50	$595.32	$2,698.50	$5,397.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $821.37 / $2,526.67 / $4,882.34	Professional		$821.37	$2,526.67	$4,882.34
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $5,185.00 / $19,046.00	Facility		$4,062.00	$5,185.00	$19,046.00