Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,761.00 / $19,485.68	Facility		$1,017.00	$2,761.00	$19,485.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $390.40 / $811.01 / $811.01	Professional		$390.40	$811.01	$811.01
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00