Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.00 / $2,747.00 / $3,883.00	Facility		$743.00	$2,747.00	$3,883.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $564.01 / $717.84 / $865.09	Professional		$564.01	$717.84	$865.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00