Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $5,604.38 / $6,576.65	Facility		$1,614.00	$5,604.38	$6,576.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $832.19 / $832.19 / $832.19	Professional		$832.19	$832.19	$832.19
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $5,185.00 / $19,046.00	Facility		$4,062.00	$5,185.00	$19,046.00