Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $6,084.00 / $6,084.00	Facility		$2,528.00	$6,084.00	$6,084.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $844.77 / $921.56 / $1,075.16	Professional		$844.77	$921.56	$1,075.16
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