Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,100.00 / $6,456.00	Facility		$1,017.00	$4,100.00	$6,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $310.64 / $680.77 / $680.77	Professional		$310.64	$680.77	$680.77
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