Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,464.00 / $4,975.00	Facility		$1,017.00	$2,464.00	$4,975.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $807.19 / $1,665.15 / $1,665.15	Professional		$807.19	$1,665.15	$1,665.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00