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 $704.77 / $1,453.32 / $1,453.32	Professional		$704.77	$1,453.32	$1,453.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $9,894.00 / $26,408.00	Facility		$2,648.00	$9,894.00	$26,408.00