Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,673.00 / $7,007.00	Facility		$1,017.00	$4,673.00	$7,007.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.32 / $540.54 / $540.54	Professional		$260.32	$540.54	$540.54
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