Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $4,673.00 / $6,996.00	Facility		$1,614.00	$4,673.00	$6,996.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,234.26 / $2,562.42 / $2,562.42	Professional		$1,234.26	$2,562.42	$2,562.42
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