Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $4,512.00 / $8,604.01	Facility		$1,614.00	$4,512.00	$8,604.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $692.83 / $692.83 / $692.83	Professional		$692.83	$692.83	$692.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00