Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $5,076.00 / $6,945.00	Facility		$1,017.00	$5,076.00	$6,945.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $873.84 / $873.84 / $873.84	Professional		$873.84	$873.84	$873.84
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