Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $877.84 / $1,614.00 / $7,727.00	Facility		$877.84	$1,614.00	$7,727.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $898.88 / $1,905.21 / $1,905.21	Professional		$898.88	$1,905.21	$1,905.21
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $12,159.00 / $41,544.00	Facility		$4,062.00	$12,159.00	$41,544.00