Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,883.00 / $4,705.00	Facility		$1,486.00	$3,883.00	$4,705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.66 / $665.66 / $685.79	Professional		$665.66	$665.66	$685.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $55.81 / $71.04	Professional		$31.32	$55.81	$71.04
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 $807.52 / $1,040.00 / $1,083.94	Professional		$807.52	$1,040.00	$1,083.94