Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $2,986.00 / $6,456.00	Facility		$1,614.00	$2,986.00	$6,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,076.72 / $2,237.73 / $2,237.73	Professional		$1,076.72	$2,237.73	$2,237.73
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $12,159.00 / $41,544.00	Facility		$4,062.00	$12,159.00	$41,544.00