Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $6,011.00 / $6,945.00	Facility		$1,017.00	$6,011.00	$6,945.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.79 / $755.04 / $854.24	Professional		$389.79	$755.04	$854.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $4,165.00 / $26,408.00	Facility		$3,261.00	$4,165.00	$26,408.00