Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,215.03 / $4,512.00 / $6,456.00	Facility		$1,215.03	$4,512.00	$6,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $481.60 / $985.58 / $1,060.42	Professional		$481.60	$985.58	$1,060.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00