Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,512.00 / $6,456.00	Facility		$1,017.00	$4,512.00	$6,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.19 / $831.19 / $831.19	Professional		$831.19	$831.19	$831.19
United Facility/Professional Facility Modifier Low / Median / High Price $29,924.00 / $45,102.00 / $147,048.00	Facility		$29,924.00	$45,102.00	$147,048.00