Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $5,226.00 / $6,996.00	Facility		$1,614.00	$5,226.00	$6,996.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,014.91 / $2,135.92 / $2,135.92	Professional		$1,014.91	$2,135.92	$2,135.92
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $10,819.00 / $28,056.00	Facility		$3,261.00	$10,819.00	$28,056.00