Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $4,848.00 / $6,456.00	Facility		$1,614.00	$4,848.00	$6,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,159.07 / $4,366.85 / $4,735.64	Professional		$2,159.07	$4,366.85	$4,735.64
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $1,319.00 / $16,382.00	Facility		$645.00	$1,319.00	$16,382.00