Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,004.00 / $4,601.00	Facility		$1,017.00	$4,004.00	$4,601.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $855.40 / $1,772.43 / $1,772.43	Professional		$855.40	$1,772.43	$1,772.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $9,486.07 / $26,408.00	Facility		$1,832.00	$9,486.07	$26,408.00