Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $5,909.00 / $6,996.00	Facility		$1,614.00	$5,909.00	$6,996.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $846.33 / $1,851.46 / $1,851.46	Professional		$846.33	$1,851.46	$1,851.46
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