Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,999.00 / $6,456.00	Facility		$1,017.00	$3,999.00	$6,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $883.14 / $1,817.58 / $1,817.58	Professional		$883.14	$1,817.58	$1,817.58
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $12,159.00 / $40,126.94	Facility		$4,062.00	$12,159.00	$40,126.94