Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,848.00 / $9,789.31	Facility		$1,017.00	$4,848.00	$9,789.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $865.13 / $1,793.55 / $1,793.55	Professional		$865.13	$1,793.55	$1,793.55
United Facility/Professional Facility Modifier Low / Median / High Price $4,099.00 / $13,107.00 / $28,056.00	Facility		$4,099.00	$13,107.00	$28,056.00