Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,673.00 / $7,007.00	Facility		$1,017.00	$4,673.00	$7,007.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $803.64 / $1,743.06 / $1,743.06	Professional		$803.64	$1,743.06	$1,743.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00