Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,882.00 / $6,456.00	Facility		$1,017.00	$3,882.00	$6,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.12 / $2,139.60 / $2,139.60	Professional		$977.12	$2,139.60	$2,139.60
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $12,159.00 / $32,772.12	Facility		$4,062.00	$12,159.00	$32,772.12