Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,999.00 / $6,456.00	Facility		$1,017.00	$3,999.00	$6,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $765.67 / $1,579.08 / $1,579.08	Professional		$765.67	$1,579.08	$1,579.08
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