Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.00 / $1,486.00 / $3,883.00	Facility		$743.00	$1,486.00	$3,883.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.31 / $790.15 / $921.84	Professional		$724.31	$790.15	$921.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00