Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,030.43 / $2,639.76 / $4,601.00	Facility		$1,030.43	$2,639.76	$4,601.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,092.63 / $2,285.69 / $2,285.69	Professional		$1,092.63	$2,285.69	$2,285.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $12,808.14 / $28,056.00	Facility		$3,261.00	$12,808.14	$28,056.00