Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,086.45 / $4,975.00	Facility		$1,017.00	$3,086.45	$4,975.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $863.29 / $863.29 / $863.29	Professional		$863.29	$863.29	$863.29
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