Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,117.00 / $1,793.00 / $9,473.12	Facility		$1,117.00	$1,793.00	$9,473.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $700.84 / $1,461.13 / $1,461.13	Professional		$700.84	$1,461.13	$1,461.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $9,894.00 / $40,126.94	Facility		$2,648.00	$9,894.00	$40,126.94