Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,769.00 / $6,456.00	Facility		$1,017.00	$3,769.00	$6,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $772.93 / $1,629.70 / $1,629.70	Professional		$772.93	$1,629.70	$1,629.70
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00