Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $4,093.00 / $4,975.00	Facility		$1,614.00	$4,093.00	$4,975.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $808.70 / $1,677.12 / $1,677.12	Professional		$808.70	$1,677.12	$1,677.12
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $5,185.00 / $41,544.00	Facility		$4,062.00	$5,185.00	$41,544.00