Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.50 / $1,758.00 / $4,456.00	Facility		$1,318.50	$1,758.00	$4,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $504.04 / $549.86 / $641.51	Professional		$504.04	$549.86	$641.51
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