Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,142.50 / $4,456.00	Facility		$1,758.00	$2,142.50	$4,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $936.67 / $1,021.82 / $1,192.13	Professional		$936.67	$1,021.82	$1,192.13
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