Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $3,734.00 / $3,883.00	Facility		$1,157.88	$3,734.00	$3,883.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.31 / $421.67 / $506.48	Professional		$331.31	$421.67	$506.48
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