Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,966.00 / $8,499.00	Facility		$2,747.00	$6,966.00	$8,499.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,247.83 / $1,361.28 / $1,588.16	Professional		$1,247.83	$1,361.28	$1,588.16
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