Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $4,673.00 / $7,007.00	Facility		$1,614.00	$4,673.00	$7,007.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,689.48 / $3,677.40 / $3,677.40	Professional		$1,689.48	$3,677.40	$3,677.40
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $1,319.00 / $16,382.00	Facility		$645.00	$1,319.00	$16,382.00