Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $3,999.00 / $4,975.00	Facility		$1,614.00	$3,999.00	$4,975.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $807.06 / $1,676.92 / $1,676.92	Professional		$807.06	$1,676.92	$1,676.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00