Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $4,456.00	Facility		$1,758.00	$4,456.00	$4,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $510.90 / $557.34 / $650.23	Professional		$510.90	$557.34	$650.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00