Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,100.00 / $6,945.00	Facility		$1,017.00	$4,100.00	$6,945.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,035.55 / $2,145.21 / $2,145.21	Professional		$1,035.55	$2,145.21	$2,145.21
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $12,159.00 / $72,274.03	Facility		$4,062.00	$12,159.00	$72,274.03