Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,080.87 / $4,456.00	Facility		$1,758.00	$2,080.87	$4,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $670.52 / $731.47 / $853.38	Professional		$670.52	$731.47	$853.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00