Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,047.00 / $4,601.00	Facility		$1,017.00	$4,047.00	$4,601.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $211.26 / $3,202.76 / $3,202.76	Professional		$211.26	$3,202.76	$3,202.76
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $4,165.00 / $26,408.00	Facility		$3,261.00	$4,165.00	$26,408.00