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 $2,119.65 / $4,393.68 / $4,393.68	Professional		$2,119.65	$4,393.68	$4,393.68
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