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 $486.63 / $4,292.82 / $5,463.58	Professional		$486.63	$4,292.82	$5,463.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00