Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $5,022.00	Facility		$1,758.00	$4,456.00	$5,022.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,017.30 / $1,109.78 / $1,294.75	Professional		$1,017.30	$1,109.78	$1,294.75
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