Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,104.97 / $2,983.00 / $6,085.00	Facility		$1,104.97	$2,983.00	$6,085.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $508.39 / $1,053.75 / $1,053.75	Professional		$508.39	$1,053.75	$1,053.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00