Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $7,727.00 / $13,070.00	Facility		$1,017.00	$7,727.00	$13,070.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.12 / $208.64 / $208.64	Professional		$100.12	$208.64	$208.64
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