Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,296.95 / $3,854.00 / $4,100.00	Facility		$1,296.95	$3,854.00	$4,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $517.40 / $989.56 / $1,127.10	Professional		$517.40	$989.56	$1,127.10
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