Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.04 / $4,848.00 / $6,456.00	Facility		$1,318.04	$4,848.00	$6,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,169.91 / $2,304.27 / $2,560.65	Professional		$1,169.91	$2,304.27	$2,560.65
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $12,159.00 / $20,833.00	Facility		$4,062.00	$12,159.00	$20,833.00