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 $618.19 / $674.39 / $786.79	Professional		$618.19	$674.39	$786.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00