Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,854.00 / $4,601.00	Facility		$1,017.00	$3,854.00	$4,601.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $528.28 / $528.28 / $528.28	Professional		$528.28	$528.28	$528.28
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