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 $829.88 / $905.33 / $1,056.22	Professional		$829.88	$905.33	$1,056.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00