Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,103.38 / $3,999.00 / $4,975.00	Facility		$1,103.38	$3,999.00	$4,975.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,173.86 / $2,439.36 / $2,439.36	Professional		$1,173.86	$2,439.36	$2,439.36
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