Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,249.76 / $4,673.00 / $7,007.00	Facility		$1,249.76	$4,673.00	$7,007.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.62 / $2,792.06 / $2,792.06	Professional		$1,348.62	$2,792.06	$2,792.06
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $5,185.00 / $19,046.00	Facility		$4,062.00	$5,185.00	$19,046.00