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 $20.13 / $20.13 / $1,376.18	Professional		$20.13	$20.13	$1,376.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.47 / $241.61 / $281.88	Professional		$221.47	$241.61	$281.88
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 $173.89 / $467.98 / $467.98	Professional		$173.89	$467.98	$467.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $160.66 / $241.93	Professional		$30.24	$160.66	$241.93