Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $4,100.00 / $4,975.00	Facility		$1,614.00	$4,100.00	$4,975.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $657.73 / $692.35 / $1,446.59	Professional		$657.73	$692.35	$1,446.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $10,819.00 / $28,056.00	Facility		$3,261.00	$10,819.00	$28,056.00