Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $439.50 / $1,758.00 / $4,456.00	Facility		$439.50	$1,758.00	$4,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.47 / $649.80 / $766.29	Professional		$467.47	$649.80	$766.29
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