Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $4,488.03 / $23,003.22	Facility		$1,614.00	$4,488.03	$23,003.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,126.64 / $2,265.21 / $2,469.42	Professional		$1,126.64	$2,265.21	$2,469.42
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $5,185.00 / $20,833.00	Facility		$4,062.00	$5,185.00	$20,833.00