Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.00 / $988.00 / $2,898.00	Facility		$247.00	$988.00	$2,898.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $762.59 / $831.91 / $970.56	Professional		$762.59	$831.91	$970.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00