Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $2,747.00 / $4,456.00	Facility		$879.00	$2,747.00	$4,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,077.20 / $1,175.11 / $1,370.98	Professional		$1,077.20	$1,175.11	$1,370.98
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