Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,004.00 / $4,601.00	Facility		$1,017.00	$4,004.00	$4,601.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.14 / $405.69 / $405.69	Professional		$183.14	$405.69	$405.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $9,938.00 / $26,408.00	Facility		$1,832.00	$9,938.00	$26,408.00