Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,472.70 / $4,201.00 / $4,975.00	Facility		$1,472.70	$4,201.00	$4,975.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,240.10 / $2,579.54 / $2,579.54	Professional		$1,240.10	$2,579.54	$2,579.54
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