Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $3,134.00 / $4,975.00	Facility		$1,614.00	$3,134.00	$4,975.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $843.37 / $1,748.04 / $1,748.04	Professional		$843.37	$1,748.04	$1,748.04
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $5,185.00 / $19,046.00	Facility		$4,062.00	$5,185.00	$19,046.00