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 / $10,647.17	Facility		$2,528.00	$6,084.00	$10,647.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,115.32 / $1,216.72 / $1,419.50	Professional		$1,115.32	$1,216.72	$1,419.50
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