Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,095.45 / $3,854.00 / $4,100.00	Facility		$1,095.45	$3,854.00	$4,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $974.00 / $1,933.12 / $2,126.96	Professional		$974.00	$1,933.12	$2,126.96
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