Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.94 / $2,464.00 / $4,975.00	Facility		$705.94	$2,464.00	$4,975.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,118.70 / $1,552.62 / $1,552.62	Professional		$1,118.70	$1,552.62	$1,552.62
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