Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,186.55 / $4,004.00 / $5,407.46	Facility		$1,186.55	$4,004.00	$5,407.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $469.16 / $543.24 / $1,028.11	Professional		$469.16	$543.24	$1,028.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00