Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $3,854.00 / $4,601.00	Facility		$1,614.00	$3,854.00	$4,601.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $909.71 / $1,895.66 / $1,895.66	Professional		$909.71	$1,895.66	$1,895.66
United Facility/Professional Facility Modifier Low / Median / High Price $19,948.00 / $27,440.00 / $90,524.00	Facility		$19,948.00	$27,440.00	$90,524.00