Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $4,148.84 / $4,975.00	Facility		$1,614.00	$4,148.84	$4,975.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $770.66 / $1,595.97 / $1,595.97	Professional		$770.66	$1,595.97	$1,595.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00