Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,162.00 / $4,100.00	Facility		$1,017.00	$3,162.00	$4,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.30 / $184.53 / $384.38	Professional		$175.30	$184.53	$384.38
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $6,580.00 / $26,408.00	Facility		$808.00	$6,580.00	$26,408.00