Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $3,323.00 / $6,743.00	Facility		$1,614.00	$3,323.00	$6,743.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,921.23 / $1,921.23 / $1,921.23	Professional		$1,921.23	$1,921.23	$1,921.23
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