Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,304.78 / $4,848.00 / $6,456.00	Facility		$1,304.78	$4,848.00	$6,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,158.33 / $2,315.23 / $2,540.81	Professional		$1,158.33	$2,315.23	$2,540.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00