Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,064.34 / $4,848.00 / $6,456.00	Facility		$1,064.34	$4,848.00	$6,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $939.80 / $1,857.80 / $2,063.73	Professional		$939.80	$1,857.80	$2,063.73
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