Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $5,545.00 / $6,996.00	Facility		$1,614.00	$5,545.00	$6,996.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,179.68 / $2,440.26 / $2,440.26	Professional		$1,179.68	$2,440.26	$2,440.26
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