Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,047.00 / $4,601.00	Facility		$1,017.00	$4,047.00	$4,601.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $871.60 / $1,726.08 / $1,909.44	Professional		$871.60	$1,726.08	$1,909.44
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00