Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,818.00 / $6,996.00	Facility		$1,017.00	$3,818.00	$6,996.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $854.56 / $1,884.88 / $1,884.88	Professional		$854.56	$1,884.88	$1,884.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $12,159.00 / $41,544.00	Facility		$4,062.00	$12,159.00	$41,544.00