Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,738.00 / $6,456.00	Facility		$1,017.00	$4,738.00	$6,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.81 / $580.88 / $580.88	Professional		$263.81	$580.88	$580.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00