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 $256.85 / $565.50 / $565.50	Professional		$256.85	$565.50	$565.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $13,107.00 / $32,772.12	Facility		$3,261.00	$13,107.00	$32,772.12