Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,875.86 / $1,875.86 / $1,875.86	Facility		$1,875.86	$1,875.86	$1,875.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $148.63 / $273.14	Professional		$120.06	$148.63	$273.14
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00