Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,253.16 / $6,915.00 / $8,043.00	Facility		$1,253.16	$6,915.00	$8,043.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,213.06 / $2,213.06 / $2,213.06	Professional		$2,213.06	$2,213.06	$2,213.06
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $12,159.00 / $30,364.29	Facility		$4,062.00	$12,159.00	$30,364.29