Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $2,036.00 / $4,100.00	Facility		$1,614.00	$2,036.00	$4,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $766.45 / $1,683.62 / $1,683.62	Professional		$766.45	$1,683.62	$1,683.62
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