Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,847.00 / $11,346.00	Facility		$2,747.00	$3,847.00	$11,346.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.57 / $105.35 / $122.91	Professional		$96.57	$105.35	$122.91
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00