Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $4,277.00	Facility		$1,157.88	$2,747.00	$4,277.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.32 / $328.72 / $383.50	Professional		$301.32	$328.72	$383.50
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