Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,285.00 / $4,456.00	Facility		$1,758.00	$4,285.00	$4,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $374.46 / $408.50 / $476.59	Professional		$374.46	$408.50	$476.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $3,340.00 / $3,340.00	Facility		$3,340.00	$3,340.00	$3,340.00