Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $729.32 / $2,464.00 / $4,975.00	Facility		$729.32	$2,464.00	$4,975.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.74 / $1,592.76 / $1,592.76	Professional		$1,096.74	$1,592.76	$1,592.76
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