Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $4,201.00 / $4,975.00	Facility		$1,614.00	$4,201.00	$4,975.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $828.55 / $1,809.90 / $1,809.90	Professional		$828.55	$1,809.90	$1,809.90
United Facility/Professional Facility Modifier Low / Median / High Price $12,497.00 / $20,246.00 / $113,063.89	Facility		$12,497.00	$20,246.00	$113,063.89