Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $4,100.00 / $6,945.00	Facility		$1,614.00	$4,100.00	$6,945.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $829.25 / $1,717.69 / $1,717.69	Professional		$829.25	$1,717.69	$1,717.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $4,165.00 / $26,408.00	Facility		$3,261.00	$4,165.00	$26,408.00