Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $1,758.00 / $4,456.00	Facility		$1,324.03	$1,758.00	$4,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,171.76 / $1,278.29 / $1,491.34	Professional		$1,171.76	$1,278.29	$1,491.34
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