Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,228.00 / $4,456.00	Facility		$1,758.00	$2,228.00	$4,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.34 / $1,252.74 / $1,461.53	Professional		$1,148.34	$1,252.74	$1,461.53
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