Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,067.02 / $4,004.00 / $4,601.00	Facility		$1,067.02	$4,004.00	$4,601.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $958.79 / $2,095.84 / $2,095.84	Professional		$958.79	$2,095.84	$2,095.84
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