Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $2,747.00 / $2,898.00	Facility		$494.00	$2,747.00	$2,898.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $280.10 / $356.55 / $453.80	Professional		$280.10	$356.55	$453.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00