Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $2,986.04 / $6,268.00	Facility		$1,614.00	$2,986.04	$6,268.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,246.80 / $2,593.58 / $2,593.58	Professional		$1,246.80	$2,593.58	$2,593.58
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