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 / $6,268.00	Facility		$1,017.00	$4,100.00	$6,268.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $694.34 / $1,443.54 / $1,443.54	Professional		$694.34	$1,443.54	$1,443.54
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