Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.58 / $1,486.00 / $3,883.00	Facility		$298.58	$1,486.00	$3,883.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.05 / $203.66 / $254.58	Professional		$153.05	$203.66	$254.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00