Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $5,545.00 / $6,996.00	Facility		$1,614.00	$5,545.00	$6,996.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $802.05 / $1,768.45 / $1,768.45	Professional		$802.05	$1,768.45	$1,768.45
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