Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,434.25 / $3,575.00 / $4,601.00	Facility		$1,434.25	$3,575.00	$4,601.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,145.76 / $1,326.67 / $2,555.92	Professional		$1,145.76	$1,326.67	$2,555.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00