Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $4,833.00 / $9,719.00	Facility		$1,614.00	$4,833.00	$9,719.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $703.75 / $1,564.10 / $1,564.10	Professional		$703.75	$1,564.10	$1,564.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00