Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $5,076.00 / $6,150.00	Facility		$1,614.00	$5,076.00	$6,150.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,161.68 / $2,549.82 / $2,549.82	Professional		$1,161.68	$2,549.82	$2,549.82
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $4,165.00 / $26,408.00	Facility		$3,261.00	$4,165.00	$26,408.00