Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,758.00 / $4,456.00	Facility		$879.00	$1,758.00	$4,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $516.26 / $563.20 / $657.06	Professional		$516.26	$563.20	$657.06
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