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 $728.53 / $794.76 / $927.22	Professional		$728.53	$794.76	$927.22
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