Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $4,833.00 / $9,719.00	Facility		$1,614.00	$4,833.00	$9,719.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,145.60 / $2,414.19 / $2,414.19	Professional		$1,145.60	$2,414.19	$2,414.19
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $4,165.00 / $26,408.00	Facility		$3,261.00	$4,165.00	$26,408.00