Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,575.00 / $4,601.00	Facility		$1,017.00	$3,575.00	$4,601.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $528.36 / $611.79 / $1,165.85	Professional		$528.36	$611.79	$1,165.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,338.00 / $6,073.00 / $26,408.00	Facility		$2,338.00	$6,073.00	$26,408.00