Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,747.00 / $4,456.00	Facility		$1,758.00	$2,747.00	$4,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $750.62 / $818.86 / $955.33	Professional		$750.62	$818.86	$955.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00