Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,975.00 / $10,042.00	Facility		$1,017.00	$4,975.00	$10,042.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $6,268.00 / $6,268.00 / $6,268.00	Facility	22	$6,268.00	$6,268.00	$6,268.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $629.04 / $1,233.53 / $1,376.18	Professional		$629.04	$1,233.53	$1,376.18
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $5,185.00 / $19,046.00	Facility		$4,062.00	$5,185.00	$19,046.00