Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $5,299.00	Facility		$1,758.00	$4,456.00	$5,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.13 / $391.13 / $402.97	Professional		$391.13	$391.13	$402.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.92 / $569.38 / $724.67	Professional		$205.92	$569.38	$724.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $474.48 / $611.07 / $636.83	Professional		$474.48	$611.07	$636.83