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 $683.56 / $1,413.68 / $1,413.68	Professional		$683.56	$1,413.68	$1,413.68
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $5,724.10 / $26,408.00	Facility		$808.00	$5,724.10	$26,408.00