Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $5,484.00 / $6,718.00	Facility		$1,924.00	$5,484.00	$6,718.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $781.67 / $781.67 / $805.29	Professional		$781.67	$781.67	$805.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $294.17 / $813.41 / $1,035.24	Professional		$294.17	$813.41	$1,035.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $3,340.00 / $3,340.00	Facility		$3,340.00	$3,340.00	$3,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $948.35 / $1,221.26 / $1,273.66	Professional		$948.35	$1,221.26	$1,273.66