Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,635.55 / $2,405.00 / $5,484.00	Facility		$1,635.55	$2,405.00	$5,484.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $646.78 / $705.58 / $823.17	Professional		$646.78	$705.58	$823.17
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