Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $4,261.57 / $4,456.00	Facility		$1,324.03	$4,261.57	$4,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $414.84 / $452.56 / $527.98	Professional		$414.84	$452.56	$527.98
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