Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,285.00 / $4,456.00	Facility		$1,758.00	$4,285.00	$4,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $726.35 / $792.38 / $924.45	Professional		$726.35	$792.38	$924.45
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