Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $2,747.00 / $2,747.00	Facility		$2,747.00	$2,747.00	$2,747.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.62 / $285.41 / $332.98	Professional		$261.62	$285.41	$332.98
United Facility/Professional Facility Modifier Low / Median / High Price $4,252.00 / $4,252.00 / $4,252.00	Facility		$4,252.00	$4,252.00	$4,252.00