Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,575.00 / $4,601.00	Facility		$1,017.00	$3,575.00	$4,601.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $440.71 / $913.86 / $913.86	Professional		$440.71	$913.86	$913.86
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $4,165.00 / $26,408.00	Facility		$3,261.00	$4,165.00	$26,408.00