Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,574.58 / $2,036.00 / $4,100.00	Facility		$1,574.58	$2,036.00	$4,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $722.81 / $1,497.49 / $1,497.49	Professional		$722.81	$1,497.49	$1,497.49
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