Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $2,369.00 / $4,975.00	Facility		$1,614.00	$2,369.00	$4,975.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $935.01 / $1,950.11 / $1,950.11	Professional		$935.01	$1,950.11	$1,950.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00