Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $2,747.00 / $5,484.00	Facility		$1,924.00	$2,747.00	$5,484.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,101.56 / $1,201.70 / $1,401.99	Professional		$1,101.56	$1,201.70	$1,401.99
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