Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,761.00 / $4,100.00	Facility		$1,017.00	$2,761.00	$4,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $811.31 / $1,771.92 / $1,771.92	Professional		$811.31	$1,771.92	$1,771.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $9,894.00 / $28,555.15	Facility		$2,648.00	$9,894.00	$28,555.15