Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $5,545.00 / $6,996.00	Facility		$1,614.00	$5,545.00	$6,996.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,112.65 / $1,171.21 / $2,452.35	Professional		$1,112.65	$1,171.21	$2,452.35
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