Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $439.50 / $1,758.00 / $4,456.00	Facility		$439.50	$1,758.00	$4,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $796.33 / $868.73 / $1,013.52	Professional		$796.33	$868.73	$1,013.52
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