Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,452.57 / $4,100.00 / $6,456.00	Facility		$1,452.57	$4,100.00	$6,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,267.01 / $2,777.85 / $2,777.85	Professional		$1,267.01	$2,777.85	$2,777.85
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $1,319.00 / $16,382.00	Facility		$645.00	$1,319.00	$16,382.00