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 $388.75 / $804.32 / $804.32	Professional		$388.75	$804.32	$804.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,030.00 / $6,489.22 / $26,408.00	Facility		$1,030.00	$6,489.22	$26,408.00