Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,004.00 / $4,601.00	Facility		$1,017.00	$4,004.00	$4,601.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,108.58 / $2,506.40 / $2,506.40	Professional		$1,108.58	$2,506.40	$2,506.40
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $2,680.00 / $26,408.00	Facility		$808.00	$2,680.00	$26,408.00