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 $985.47 / $1,115.63 / $1,301.57	Professional		$985.47	$1,115.63	$1,301.57
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