Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $4,100.00 / $7,007.00	Facility		$1,614.00	$4,100.00	$7,007.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,756.54 / $3,638.51 / $3,638.51	Professional		$1,756.54	$3,638.51	$3,638.51
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