Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.65 / $1,804.47 / $4,100.00	Facility		$745.65	$1,804.47	$4,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $785.43 / $1,636.47 / $1,636.47	Professional		$785.43	$1,636.47	$1,636.47
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