Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $11,346.00 / $13,879.00	Facility		$2,747.00	$11,346.00	$13,879.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $847.24 / $924.26 / $1,078.31	Professional		$847.24	$924.26	$1,078.31
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