Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.90 / $5,076.00 / $7,176.00	Facility		$1,426.90	$5,076.00	$7,176.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $629.54 / $1,312.88 / $1,312.88	Professional		$629.54	$1,312.88	$1,312.88
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